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If the prostate gland is removed, which is called a radical prostectomy, the removal of the prostate prevents a man from being able to achieve a spontaneous erection, and will need the aid of medication or an erectile dysfunction pump.
Radical prostatectomy is the removal of the entire prostate and some of the lymph nodes near it to help treat prostate cancer. A radical prostatectomy involves making a cut or series of smaller cuts under your testicles or above your pubic bone to access and remove the prostate and other tissues.