Treatment of prostate cancer can cause erectile dysfunction, although the cancer itself does not cause the problem.
Prostate surgery to remove cancer – even when nerves are spared and procedures are done by the finest surgeons – can result in erectile dysfunction, as can radiation therapy to treat prostate cancer.
This is because of trauma to the delicate nerves and blood vessels that are necessary for erections – but for many men, the ability to have erections returns within the first few months after treatment.
Treatment of non-cancerous, benign prostate disease can cause ED. Drugs called 5α-reductase inhibitors are used to treat benign prostatic hyperplasia – prostate enlargement – and they can cause erectile dysfunction.
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