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Study results also show that men aged 60 years and older are predisposed to worse erectile function after biopsy, so prostate biopsy should be used even more cautiously in this group, and physician-to-patient counseling âshould include this potential outcome in more detail.â.
Rarely, certain laser prostate surgeries--for example, interstitial laser coagulation--can cause erectile dysfunction, or impotence. In these cases, men may become unable to get or maintain an erection that is firm enough for intercourse as a side effect of nerve damage occurring during the procedure.