[Andrologic problems in benign prostatic hyperplasia]

Abstract

Retrograde ejaculation is observed after surgical treatment of B.P.H. in the majority of patients; erectile failure may follow these procedures in 10-20% of cases. Post-prostatectomy impotence is not depending on surgical technique and probably occurs as a consequence of venous leakage due to traumatic injury of the nervi erigentes at the prostatic apex. Pathological factors also play an important role as it is shown by the efficacy of preoperative exploration in reducing the incidence of this complications. It is advisable to include potency problems in the informed consent to be signed by the patient before any kind of prostatic surgery.