Permanent loss of sexual function after radical prostatectomy is not inevitable. Orgasm is controlled by a different neural pathway and is possible almost immediately after surgery, even of it is not "nerve sparing". For those who have nerve sparing surgery, a study in 2011 showed the combination of rehabilitation with cialis-type drugs AND use of a vacuum erection device ("penis pump") restored sexual function after 9-12 months - defined as successful vaginal penetration, and intercourse to orgasm - in 92% of men, compared to less than half who only used the cialis drug.

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