The most common serious complications of<unk>  are loss of urinary control and impotence. As many as 40% of men undergoing<unk>  may be left with some degree of urinary incontinence, usually in the form of leakage with sneezing, etc. (stress incontinence) but this is highly surgeon-dependent. Continence and potency may improve depending on the amount of trauma and the patient's age at the time of the procedure, but progress is frequently slow. Doctors usually allow up to 1 year for recovery between offering medical or surgical treatment. Potency is greatly affected by the psychological attitude of the patient. * Impotence is common when nerve-sparing techniques are not used. Although erection and ejaculation are affected, penile sensation and the ability to achieve orgasm remain intact. Therefore, use of medications such as sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis) may restore some degree of potency when the cavernous nerves remain functioning. Other non-pharmacological treatment options include vacuum constriction devices and penile implants. The sensation of orgasm may be altered and no semen is produced, but there may be a few drops of fluid from the bulbourethral glands. Couples counseling focusing on the changes may be effective in restoring potency or maintaining a satisfactory mating relationship if impotence continues. Erectile dysfunction outcomes can be predicted by intraoperative cavernous nerve electrical stimulation with a penile plethysmograph. The results aid in managing additional therapeutic options earlier. * Stress incontinence after<unk>  can be secondary to the damage sustained by the urethral sphincter, leading for its incomplete closure. Increase in intra-abdominal pressure, like when a person sneezes, coughs, or laughs, may lead to urine leakage. Several treatments are available to treat post-prostatectomy incontinence. Conservative therapy includes Kegel exercises, lifestyle changes, bladder training, using absorbent pads, penile clamps, and other simple measures. If conservative treatment fails, patients can be offered surgical treatment. Surgery includes the insertion of male urethral slings or an artificial urinary sphincter. Artificial urinary sphincters are the gold standard of care in moderate to severe post-prostatectomy incontinence. Even though the complications of prostate surgery can be bothersome, treatments are available, and patients should seek guidance from their physician instead of ignoring the problem.
Radical retropubic prostatectomy
Radical perineal prostatectomy
Transurethral resection of the prostate
Laparoscopic radical prostatectomy
Transurethral incision of the prostate
Lower anterior resection
Pinealectomy
Transurethral needle ablation of the prostate