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  • Lication of prostate surgery. The prostate is surrounded by a rich network of veins, so it is common to lose one to two pints of blood during the operation. generic cialis On occasion blood loss can be considerably greater. Some patients choose to donate two pints of their own blood in advance in case a transfusion is needed during surgery, which happens for only about 20 percent of patients. In addition, during surgery a cell saver can be used and the blood transfused back if necessary. cialis for sale Erectile dysfunction (impotence) was once a virtual certainty after radical prostatectomy. However, with anatomic studies, the nerves responsible for erections have been identified (with one nerve bundle on either side of the prostate) and techniques have been developed to spare these nerves. buy cialis online If both nerve bundles are preserved, the ability to have erections can be retained in about 50 to 60 percent of patients. cialis order Please keep in mind the ability to spare these nerves is dependent on the grade, stage and volume of cancer within the prostate. safest site buy viagra In some patients, particularly those with extensive high-grade disease, nerve sparing is not performed as doing so may compromise the ability to remove all the prostate cancer cells. viagra online no prescription overnight It is also important to understand that the likelihood of retaining sexual function after surgery depends not only on the status of the nerves but also on the age of the patient and the pre-treatment level of erectile function. Whether or not erections return, men can generally still attain an orgasm, although no semen will flow. do you need a prescription to buy viagra in australia If erections do not return, a number of treatment options are available, including oral medications (such as viagra, levitra and cialis), medications placed directly into the penis such as suppositories or penile injections, vacuum erection devices or penile prostoses. purchase cialis online Urinary incontinence is usually a temporary inconvenience after surgery, and the majority of men regain urinary control within two or three months. viagra time take effect Some men will continue to lose small amounts of urine with sneezing, coughing or exertion. safest site buy viagra Approximately two percent of men will remain significantly incontinent; many elect to have further surgery to try to regain urinary control. lowest price cialis Such procedures include surgical placement of an artificial urinary sphincter or outpatient collagen injections. Bladder neck contracture, or the internal scarrin. Mobil: 0749.55.76.50
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