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If the prostate gland is removed, which is called a radical prostectomy, the removal of the prostate prevents a man from being able to achieve a spontaneous erection, and will need the aid of medication or an erectile dysfunction pump.
1 Some men with an enlarged prostate need surgery to relieve urinary retention.  Urinary tract infections (UTIs). Inability to fully empty the bladder can increase the risk of infection in your urinary tract. If UTIs occur frequently, you might need surgery to remove part of the prostate.