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However, after this endoscopic surgery the ejaculations are dry in about 65% of patients, unless a novel, ejaculation preserving, altered technique of TURP is applied. [1] [2] Simple prostatectomy can also be offered to men who have large prostates (>50 grams). This can be done by open technique, laparoscopically, or with robotic assistance. [3]
For some men, having it may induce erectile dysfunction and cause problems. Radical prostatectomy. This is a surgery for prostate cancer where the prostate glands are removed.
Surgical removal of the prostate contains an increased likelihood that patients will experience erectile dysfunction. Radical prostatectomy is associated with greater decrease in sexual function than external beam radiotherapy. Nerve-sparing surgery reduces the risk that patients will experience erectile dysfunction.
Complications can include urinary tract infections, bladder stones, and chronic kidney problems. [2] The cause is unclear. [1] Risk factors include a family history, obesity, type 2 diabetes, not enough exercise, and erectile dysfunction. [1] Medications like pseudoephedrine, anticholinergics, and calcium channel blockers may worsen symptoms. [2]
Penile revascularization is a specialized vascular-surgical treatment option for erectile dysfunction. The 2009 International Consultation on Sexual Dysfunctions recommended that revascularization be limited to nonsmoker, nondiabetic men younger than 55 years of age with isolated stenosis of the internal pudendal artery with absence of venous leak. [1]
A number of medications can be used which need to be tailored to each person's needs and types of symptoms (according to UPOINTS, S = sexual: e.g. erectile dysfunction, ejaculatory dysfunction, postorgasmic pain). [56] Treatment with antibiotics is controversial. A review from 2019 indicated that antibiotics may reduce symptoms.
“Men should be aware that prostate cancer is one of the most common cancers in men, but when caught early, it is often highly treatable,” says Daniel Spratt, M.D., a prostate cancer management ...
Nerve-sparing prostatectomy was invented for surgeons to avoid injuring the nerves and causing erectile dysfunction complications. During surgery, a doctor may apply a small electrical stimulation to the nerve and measure the erectile function with a penile plethysmograph . [ 2 ]
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