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
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.