Does prostate surgery always cause impotence?

The New York University Langone Medical Center states that almost all men recovering from prostate surgery develop temporary erectile dysfunction. However, the majority of men improve over time.

healthline.com - Can Impotence Occur After Prostate Surgery? - Healthline

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Consider your options If you’re undergoing prostate surgery, you may be concerned about how it will affect your sexual function. Erectile dysfunction (ED) is the inability to become sexually aroused and have an erection. The condition has many complex causes. It can be caused by a physical problem, an emotional issue, or both. Regardless of the cause, ED can affect both you and your partner. What causes impotence? Many body systems play a role in sexual arousal. These include: nerves

blood vessels

muscles

reproductive organs (hormones)

obesity

multiple sclerosis (MS)

heart disease Surgical causes Surgery that affects your pelvic area, such as prostate surgery, is another potential physical cause of ED. Contributing causes Other issues that can contribute to ED include: certain medications

smoking

drinking too much alcohol

Risk factors According to the James Buchanan Brady Urological Institute at Johns Hopkins, ED is a “known potential complication” of surgery for prostate cancer. Fortunately, practicing certain techniques can help you recover your ability to have an erection after prostate surgery. Men rarely recover complete function naturally soon after surgery. Don’t be discouraged if you aren’t fully functioning immediately. Allow your body time to heal. Regaining function The New York University Langone Medical Center states that almost all men recovering from prostate surgery develop temporary erectile dysfunction. However, the majority of men improve over time. Improvement over time Some studies suggest that sexual function may continue to improve several years after prostate surgery. Research published in the Journal of Urology found that 60 percent of men were able to have sexual intercourse within two years of having prostate surgery. This was true even without taking sexual performance enhancement drugs, such as Viagra or Cialis. Continued improvement Another study published in the Journal of Urology found that erectile function continued to improve up to four years after prostate surgery. Half of those studied reported an improvement in their ability to get an erection between two and four years after surgery. Twenty percent of men in the study found that their level of improvement was “moderate” to “marked.”

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Do you need a catheter after UroLift?

Most patients do not require a catheter after having the UroLift procedure. Some men may experience discomfort after the procedure. You may have soreness in the lower abdomen, and it may be uncomfortable to sit. You may experience the need to urinate more frequently with greater urgency.

urologynashville.com - UroLift | Tennessee | Urology Associates P.C.

During the UroLift procedure, the doctor places small, permanent implants into the prostate to lift and hold the enlarged tissue out of the way.

What to Expect After the Procedure

Immediately following the procedure, you will be asked to urinate. If you can successfully urinate, you will be allowed to go home. If you have difficulty urinating, your doctor may insert a catheter to help you void, and you will be given instructions on when to have the catheter removed. Most patients do not require a catheter after having the UroLift procedure. Some men may experience discomfort after the procedure. You may have soreness in the lower abdomen, and it may be uncomfortable to sit. You may experience the need to urinate more frequently with greater urgency. You may have some blood in your urine, including passing an occasional blood clot. These are all normal reactions to the procedure. Most of these symptoms will resolve within 2-4 weeks – this is normal.

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Citrus: Oranges, lemons, limes, and grapefruits are all high in vitamin C, which may help to protect the prostate gland.

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