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Does prostate surgery affect erections?

Dr. Fernando Gómez Sancha · ICUA

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Dr. Fernando Gómez Sancha · YouTube

Language: English. Editorial classification in the patient catalog.

Does prostate surgery affect erections?

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About this video

Holmium laser enucleation (HoLEP) does not affect erections: the erector nerves run outside the prostatic capsule and we work inside it. Published studies, including our own data, show erectile function is maintained or even improves.

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Source checked: 2026-10-04.

Available transcript · English

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  1. Holmium laser enucleation does not affect erections. The nerves responsible for erections, the erector nerves, run outside the prostatic capsule. In Holmium laser enucleation, we work inside this capsule, we don't touch those nerves.
  2. It's as if the prostate were a room, we empty what's in the room, but the walls and what's outside aren't touched. Published studies, and this includes our own data, show that erectile function is maintained or even improves after HoLEP.

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