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This procedure likely improves quality of life without additional negative side effects when compared with a sham surgery. [ 14 ] Compared with transurethral resection of the prostate , the standard surgery for treating benign prostatic hyperplasia, this procedure may be less effective in reducing urinary symptoms but may preserve ejaculation ...
Prostatectomy (from the Greek προστάτης prostátēs, "prostate" and ἐκτομή ektomē, "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis .
For men struggling with erections after a prostatectomy, taking medication on a scheduled basis may result in a similar self-reported rate and quality of erections as taking medication as needed. [16] There may also be similar rates of serious unwanted side effects for both types of medication usage. [16]
[17] [18] In a contemporary study of quality of life after treatment (radiotherapy and surgery) for localized prostate cancer, the authors reported that a substantial proportion of men did not return to baseline function in the domains of bowel, sexual, and urinary function; that changes in quality of life domains were treatment specific; and ...
When the cancer is small and confined to the prostate, radical perineal prostatectomy achieves the same rate of cure as the retropubic approach but less blood is lost and recovery is faster. One downside to the perineal approach is an increased risk of fecal incontinence. [2] [5]
The current gold standard of management for persistent urinary incontinence after prostatectomy is the placement of an artificial urinary sphincter. [11] Male slings are an alternative for mild to moderate post-prostatectomy incontinence. [12] [13] Retrograde ejaculation due to injury of the prostatic urethra. This is one of the most frequent ...
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