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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.
Complications of enlarged prostate can include: 1  Sudden inability to urinate (urinary retention). 2  You might need to have a tube (catheter) inserted into your bladder to drain the urine. 3  Some men with an enlarged prostate need surgery to relieve urinary retention. 4  Urinary tract infections (UTIs).