Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor
To the Editor: Dr Stanford and colleagues1 found that 59.9% of men reported impotency after
radical prostatectomy. Among the potent men, 26.7% were using vacuum suction
devices and 21.4% were using penile injections. Men usually tire of these
artificial erectile therapies within 2 years, thus further decreasing the
long-term potency rate.2,3
I inform all men contemplating radical prostatectomy that there is a 100%
rate of sexual dysfunction from the procedure because all men are made infertile
and experience dry climaxes—if they can climax at all. Because the prostate
and seminal vesicles are removed, orgasm can never be the same after radical
prostatectomy. Stanford et al also found that 48.6% of these men reported
some degree of urinary incontinence and that 16.1% underwent treatment for
urinary strictures—a painful and unpleasant process.
Hennenfent BR. Genitourinary Consequences of Radical Prostatectomy. JAMA. 2000;283(22):2932. doi:10.1001/jama.283.22.2931
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