Male sexual dysfunction is regulated by the auto-nomic nervous system via the pelvic plexus which lies posterolateral to the bladder. Sympathetic nerves are responsible for ejaculation, while parasympathet-ic nerves govern erection. Sexual dysfunction after APR defined by partial or total impotence, loss of emission or retrograde ejaculation was observed in 6/40 (15%) who had normal sexual function prior to operation.
Of the female patients, 83.6% were able to experience arousal with vaginal lubrication and 90.1% could achieve orgasm.
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