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June 14, 2000

Genitourinary Consequences of Radical Prostatectomy

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor

JAMA. 2000;283(22):2932. doi:10.1001/jama.283.22.2931

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.