Does brachytherapy result in erection difficulties?
It can. In 20-40% of cases, and especially if brachytherapy is combined with external beam for high-risk disease patients, erection difficulties may occur. After implantation, potency depends on many factors, especially pre-treatment sexual function, age, use of hormones, smoking history, etc. However, these are often patients in whom a nerve-sparing prostatectomy would not be recommended due to the extent of disease. The good news is that recent reports have shown that up to 75% of the men with erection problems after a prostate implant respond very well to Viagra.
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