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@peterj116

Thankyou Phil. I really appreciate that.

Apparently my new guy is "a reconstructive urologist, with expertise in management of urethral stricture disease as well as penile deformities and incontinence."

Urethral stricture disease and urethroplasty
Revision hypospadias surgery
Inflammatory disease (BXO) of the urethra and penis
Lower urinary tract reconstruction
Kidney and ureteric stones - Endoscopic removal and shock wave lithotripsy
Kidney bladder and prostate cancer
Vasectomy and vasectomy reversal
Prostate biopsy
Scrotal surgery

So he must know his way around that bit.

From what I've read, the standard approach it to remove the internal urethral sphincter along with the prostate. I've never understood why.

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Replies to "Thankyou Phil. I really appreciate that. Apparently my new guy is "a reconstructive urologist, with expertise..."

I believe it is only removed if the cancer has invaded it - don’t think it is standard but have heard many echo this same line.
Why remove a body part whose function is so complex just to make life easy?
If you know for sure based on surgical pathology that your cancer had been invasive in this area then the surgeon had no choice. If not, well, you know….