In a few cases, surgery may be an option to treat erectile dysfunction. Surgery will rarely be recommended before nonsurgical treatment and counseling have been tried.
Surgery on the pelvic area, such as prostate or bladder surgery, can sometimes damage nerves there and cause erection problems.
But this is much less common than it used to be. For example, a surgeon
now may do a nerve-sparing radical prostatectomy as treatment for
prostate cancer. Some surgeons do nerve grafts as part of surgery for
prostate cancer when the nerves cannot be saved. In a nerve graft
surgery, the surgeon takes nerves from another part of your body and
uses them to replace nerves damaged during surgery.
A small percentage of men are candidates for erectile dysfunction
surgery. Penile arterial revascularization is similar to cardiac bypass
surgery. It's a procedure used to unblock blood vessels supplying the
penis that may have been damaged or traumatized. Venous ligation surgery
is used if blood vessels inside the penis are leaky, preventing a
sustaining erection. A penile prosthesis can be implanted that inflates
the penis before sexual activity, allowing the penis to stay erect.
These procedures are mostly reserved for men who have some kind of
penile damage or deformity but who don't have other medical conditions
that affect potency.
Some forms of erectile dysfunction (ED) are treated with surgery. Depending on the cause of your difficulty in getting or maintaining an erection, there are three surgical options:
• A device (prosthesis) is implanted into the penis that helps it become erect
• Damaged blood vessels in the penis can be repaired or replaced to increase blood flow needed for an erection
• Leaky veins in the penis can be tied off to help maintain an erection
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