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Injury to the prostatic plexus (during prostatic resection for example) is highly likely to cause erectile dysfunction. It is because of this relationship that surgeons are careful to maintain the integrity of the prostatic fascial shell so as to not interrupt the post-ganglionic parasympathetic fibers that produce penile erection.
Retrograde ejaculation due to injury of the prostatic urethra. This is one of the most frequent complications of the procedure, occurring in about 65% of patients. [14] Bladder neck stenosis. Erectile dysfunction may be seen in some patients, however, many have reported that erectile function improved after TURP.
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 .
Certain medications, including those for hypertension and depression, can cause sexual dysfunction as a side effect. Beta-blockers, for example, can decrease libido and lead to erectile issues.
These nerves are susceptible to injury following prostatectomy or genital surgery. 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 ...
Diseases are also common causes of erectile dysfunction. Diseases such as cardiovascular disease, multiple sclerosis, kidney failure, vascular disease, and spinal cord injury can cause erectile dysfunction. [10] Cardiovascular disease can decrease blood flow to penile tissues, making it difficult to develop or maintain an erection.
ED is a common complication of treatments for prostate cancer, including prostatectomy and destruction of the prostate by external beam radiation, although the prostate gland itself is not necessary to achieve an erection. As far as inguinal hernia surgery is concerned, in most cases, and in the absence of postoperative complications, the ...
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.
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