Nerve sparing radical prostatectomy
Nerve sparing radical prostatectomy
Radical prostatectomy is the surgical removal of the prostate. This is the most common treatment for early stage prostate cancer and provides an effective cure in most cases.
Temporary urinary incontinence and often permanent difficulty attaining erections are generally recognised as common side effects after prostatectomy.
Among patients treated at centres performing large numbers of prostate cancer operation, urinary incontinence after prostatectomy is usually temporary and resolves in most cases.
Typical recovery of urinary control occurs over a period of weeks to several months after prostate removal if a nerve-sparing procedure is performed. In the absence of nerve sparing, recovery of urinating control can take twice as long.
Impotence (Erectile Dysfunction [ED]) is the other principal issue that commonly affects quality of life after prostatectomy. Most men experience ED early after prostatectomy. Erections are typically poor in the first few months after prostatectomy and recovery variable thereafter, depending on factors such as baseline sexual function, patient age and use of nerve-sparing surgical technique.
Even after nerve-sparing surgery, erection recovery can take months to years. Erections can be improved with medications such as Viagra and other treatment options.
Although most men in their late 60's or older do not recover quality erections compared to their pre-treatment ability.
On the other hand, sexual recovery for men in their 40's and 50's can recover erections suitable for intercourse if they undergo nerve-sparing surgery.
Bowel concerns did not affect prostatectomy patients, though such problems were encountered after radiation and some brachytherapy cases.
Questions to ask your surgeon
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