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Encouraging data on side effects

User
Posted 28 Sep 2025 at 18:43

Does anybody know where to find the source data quoted below for Prostatectomy? This was posted a few years ago on this forum :


“NICE / BAUS statistics say that 90% of men will be using one pad per day or less at 12 months post-op and 90% of men will be able to get an erection either naturally or either mechanical/ chemical assistance 12 months post-op. Around 60% of men will regain natural erections by 2 years post-op”


 

User
Posted 28 Sep 2025 at 23:06

Hello, mate.


Welcome to the forum.


The figures on regaining continence and recovering from erectile dysfunction seem high. 


I've read many research papers on incontinence and ED after RARP. They all vary. It depends on how continence is defined and how an erection is defined. Results also depend on the size of the sample of patients used and who operated on them.


I've seen very good results when the sample size is small and the patients have all been operated on by the same very skilled surgeon.


Here is a link to a paper which has reviewed  many research results on post-prostatectomy incontinence


https://pmc.ncbi.nlm.nih.gov/articles/PMC9917389/


In it, it states:


Several studies report a progressive return of continence up to one year after RP, with a continence rate ranging from 68 to 97% at 12 months 


This is just one example of their findings, which show how much results can vary.


The research I've done leads me to believe that on average about 25% of men are fully continent within a month of the catheter being removed, about 65% are fully continent after 6 months and about 80% are fully continent after a year.


I'm not even going into ED recovery rates because they vary even more.

Edited by member 28 Sep 2025 at 23:57  | Reason: Add link

User
Posted 29 Sep 2025 at 01:01

If your debating the risks of ED and incontenence after prostatectomy your surgeon should be able to give you some idea beforehand especially on incontenence, 

 
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