Radical prostatectomy and other prostate interventions may impair erectile function due to nerve damage and vascular compromise. Even with nerve-sparing techniques, temporary or permanent dysfunction may occur.
Early penile rehabilitation using pharmacotherapy, vacuum devices, or intracavernosal injections may promote functional recovery.
Guidelines from the American Urological Association recommend individualized management strategies based on patient age, baseline function, and comorbidities.
Comprehensive counseling prior to surgery is essential to erotic manage expectations and facilitate informed decision-making.
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