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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.
1 Bladder substitution reservoir (neobladder). 2  If your urethra was not removed as part of the surgery, your continent reservoir will attach to your ureters at one end and your urethra at the other. 3  This allows you to pass urine much as you did before surgery.f a man's prostate gland is removed, he will not be able to father a child. If you are concerned about your fertility, talk to your doctor about your options before your surgery. Bladder cancer surgery may also affect how you feel about your body. It may also affect your sexual function.