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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. 2  Urinary tract infections (UTIs). 3  Inability to fully empty the bladder can increase the risk of infection in your urinary tract. 4  If UTIs occur frequently, you might need surgery to remove part of the prostate.