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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]
Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by prostate enlargement. The surgeon inserts a scope through the penis tip into the urethra. A laser passed through the scope delivers energy to shrink or remove excess tissue that is preventing urine flow. [7] Different types of prostate laser surgery include:
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
Surgery rarely is the first option for retrograde ejaculation and the results have proven to be inconsistent. [11] Medications do not help retrograde ejaculation if there has been permanent damage to the prostate or the testes from radiation. Medications also do not help if prostate surgery has resulted in damage to the muscles or nerves.
Family history, obesity, type 2 diabetes, not enough exercise, erectile dysfunction [1] Diagnostic method: Based on symptoms and examination after ruling out other possible causes [2] Differential diagnosis: Heart failure, diabetes, prostate cancer [2] Treatment: Lifestyle changes, medications, a number of procedures, surgery [1] [2] Medication
Erectile dysfunction is the inability to get or maintain an erection long enough for arousal. It’s a common problem affecting approximately 30 million men in the U.S. alone. Older age and ED go ...