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NCCN Guidelines for Patients


Prostate Cancer, Version 1.2016


Overview of cancer treatments Surgical treatment

some men they are lifelong issues. You’re at higher

risk for erectile dysfunction if 1) you’re older; 2) you

have erectile problems before the operation; or

3) your cavernous nerves are damaged or removed

during the operation. If your cavernous nerves are

removed, there is no good proof that nerve grafts will

help restore your ability to have erections. Aids are

still needed.

Removing your prostate and seminal vesicles

will cause you to have dry orgasms. You will no

longer be able to father children through sex. Your

prostatectomy essentially includes a vasectomy.

Although not as common as erectile dysfunction,

other sexual changes may include pain during

orgasm (dysorgasmia), inability to have an orgasm

(inorgasmia), curving of your penis (penile curvature),

and a smaller penis (penile shrinkage).

Bladder control often returns within months after

the operation, but you may not have full control.

Stress incontinence is leakage of a little urine when

coughing, laughing, sneezing, or exercising. It is

caused by damage to the muscle at the base of the

bladder. Overflow incontinence occurs when there

is too much urine in the bladder because scarring

blocks the full release of urine. Some men also have

problems with bowel movements (defecating) for

awhile after the operation.

Not all side effects of surgical treatment are listed

here. Please ask your treatment team for a complete

list of common and rare side effects. If a side effect

bothers you, tell your treatment team. There may be

ways to help you feel better.