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The two most feared complications of prostate surgery are erectile dysfunction and stress urinary incontinence. [16] The type of complications depend on the treatment modality used: Urinary incontinence can happen after prostate surgery, especially stress urinary incontinence.
A triple lumen catheter is inserted through the urethra to irrigate and drain the bladder after the surgical procedure is complete. The outcome is considered excellent for 80–90% of BPH patients. The procedure carries minimal risk for erectile dysfunction, moderate risk for bleeding, and a large risk for retrograde ejaculation. [2]
After technically successful revascularization surgery, the patient continued to have post-operative erectile dysfunction despite documented patency of the surgical graft by penile duplex ultrasonography. Pelvic angiography was performed on the patient, revealing an aberrant obturator artery originating from the inferior epigastric artery. The ...
The Urology Care Foundation defines ED as trouble getting or keeping an erection that is firm enough to have sexual intercourse. Although several factors can cause or contribute to symptoms of ED ...
Very few surgeons will claim that patients return to the erectile experience they had prior to surgery. The rates of erectile recovery that surgeons often cite are qualified by the addition of sildenafil to the recovery regimen. [26] Remedies to the problem of post-operative sexual dysfunction include: [27] Medications; Intraurethral suppositories
Radical retropubic prostatectomy was developed in 1945 by Terence Millin at the All Saints Hospital in London. The procedure was brought to the United States by one of Millin's students, Samuel Kenneth Bacon, M.D., adjunct professor of surgery, University of Southern California, and was refined in 1982 by Patrick C. Walsh [1] at the James Buchanan Brady Urological Institute, Johns Hopkins ...
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