Bladder Surgery
Surgery for advanced bladder cancer requires removal of the bladder and the prostate. New nerve-sparing techniques can help prevent erection problems. Early tumors can also be treated by limited surgery performed through the urethra. This surgery will not affect potency.
Rectal Surgery
Rectal surgery for cancer is similar to radical prostate surgery in that crucial nerves may be injured. Unfortunately the nerves essential for erection are just too close to the rectum to allow for nerve-sparing techniques. Surgery on the rectum for non-malignant disease, however, can be modified so that the nerves are preserved and the ability to get an erection is maintained.
Penile Surgery
The good news about surgery on the penis is that it’s rare. It’s usually performed when a patient has cancer of the penis (a disease which strikes very few men) or for a very severe case of Peyronie’s disease, discussed earlier. It is not true that all penile surgery inevitably leads to lack of erection. Crucial blood vessels or nerves must be damaged for this to happen.
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