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Related Concept Videos

Disorders of the Male Reproductive System01:20

Disorders of the Male Reproductive System

Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors01:28

Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors

Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Male Sexual Response: Erection & Ejaculation01:17

Male Sexual Response: Erection & Ejaculation

Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: Jun 7, 2026

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
02:21

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease

Published on: March 15, 2024

Surgery and erectile dysfunction.

Andrea Gallina1, Alberto Briganti, Nazareno Suardi

  • 1Department of Urology, Vita-Salute University, Milan, Italy. gallina.andrea@hsr.it

Archivos Espanoles De Urologia
|October 28, 2010
PubMed
Summary
This summary is machine-generated.

Pelvic surgery often causes erectile dysfunction (ED), with rates varying widely. Advances in surgical techniques and nerve-sparing approaches improve recovery, but new strategies are needed to further reduce ED after these procedures.

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Last Updated: Jun 7, 2026

Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease
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Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
09:49

Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy

Published on: December 28, 2021

Area of Science:

  • Urology
  • Oncology
  • Surgical Sciences

Background:

  • Erectile dysfunction (ED) is a significant complication following pelvic surgery, impacting patients' quality of life.
  • Various surgical techniques and therapeutic options exist to mitigate sexual health issues post-pelvic surgery.

Purpose of the Study:

  • To evaluate the short- and long-term outcomes of pelvic surgery concerning erectile dysfunction.
  • To review current literature on functional outcomes and sexual health after pelvic cancer surgery.

Main Methods:

  • A comprehensive Medline search was performed to identify relevant original articles, reviews, and editorials.
  • Keywords included radical prostatectomy, radical cystectomy, rectal cancer, and erectile dysfunction.

Main Results:

  • Erectile dysfunction rates after pelvic surgery range from 25-100%, influenced by surgical extent, neurovascular preservation, and preoperative function.
  • Improved understanding of pelvic anatomy and nerve-sparing techniques, particularly after radical prostatectomy, have enhanced erectile function recovery.
  • Pro-erectile medications aid recovery in nerve-sparing cases, while radical cystectomy and rectal cancer surgery remain associated with high ED rates; urinary/fecal diversions further limit sexual activity.

Conclusions:

  • Surgical advancements and anatomical knowledge have improved understanding of erectile function preservation during pelvic surgery.
  • Further research and novel strategies are essential to minimize the incidence and impact of erectile dysfunction following pelvic surgery.