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Nerve sparing one bundle.

I pretty much made my decision on removing prostate. Gleason 7 3+4, 65 years old. I’m told by surgeon he may not be able to do Bilateral removal of both bundle’s of nerves. One is fairly close to the tumor near the wall. Won’t know until he gets in there. My question is, is there guys on here that were in the same position as me and what was the outcome regarding ED down the road with only one. I’m guessing one nerve is better than none.

Thanks

  1. Hi . I wish I had an easy answer for you. We have had men who were able to recover function with one bundle (see: https://prostatecancer.net/stories/nerve-sparing), while others had nerve-sparing surgery, but still struggle with ED (see: https://prostatecancer.net/living/spotlight-dan-franke). I don't know if anyone has mentioned speaking to a pelvic floor therapist, but they may be able to assist with helping to retain or regain function. Our contributor Erin, who is a pelvic floor therapist wrote this article on ED, which includes information on the nerves: https://prostatecancer.net/living/erectile-dysfunction-now-what. Hope this information is helpful and that others chime in with their thoughts. Best, Richard (Team Member)

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