Urology Center of Englewood

New Surgical Technique Shows Potential in Restoring Erectile Function After Radical Prostatectomy

Cancer Connect News: According to a
report from Australian doctors published in the Journal of European Urology minimally
invasive end to end nerve grafting can restore erectile function among men who previously
underwent radical prostatectomy for prostate cancer.

Every year, nearly 1.3
million men worldwide undergo radical prostatectomy for the treatment of early
stage prostate cancer. Approximately 60% – 70% of these men will have erectile
dysfunction as a complication of their surgery. In order to address this need,
a group of urologists in Australia started performing end-to-side nerve
grafting for men following radical prostatectomy for prostate cancer in 2015.

Their initial report
includes analysis of 17 men with a median age of 64 who experienced severe or
moderate post-prostatectomy erectile dysfunction. All men had undetectable PSA
levels and underwent the minimally invasive end to end nerve grafting surgery between
March 2015 and October 2017.

The doctors report
that the procedure was safe and resulted in a high overall success rate – the
procedure restored erectile function in 71% of men who underwent the surgery.
Approximately half of these men had spontaneous function, whereas the others
still required oral ED medications. One patient who recovered function had
erectile dysfunction for 12 years. Erectile function also correlated with a
clinically significant improvement in men’s quality of life.

End to end nerve
grafting is an important step forward in helping men who have erectile
dysfunction following treatment for prostate cancer.


  1. Reece JC, et al. Eur Urol. 2019;

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