Erectile dysfunction is the inability to achieve an erection, a firm enough erection needed for sexual intercourse, or the inability to sustain an erection long enough to achieve sexual climax. It is almost always the symptom or result of another problem, both physical and psychological.
Erectile dysfunction is also common side effect of some urological surgeries, such as cystectomy and prostatectomy. Advances in urological procedures like robotic surgery aim to reduce the prevalence of these side effects.
Having this issue occasionally isn’t necessarily a case of erectile dysfunction, but when it is an ongoing issue treatment is recommended.
Men achieve erection when they are sexually stimulated, which results in nerve messages releasing chemicals that increase blood flow into the penis. Surgery such as cystectomy and prostatectomy, which operate on this region, can disrupt these nerves, resulting in erectile dysfunction.
Robotic surgery allows greater precision, control and flexibility of the surgeon’s movements. This allows surgeons to perform delicate and complex procedures, and to do so without encroaching on nearby organs and nerve tissue.
Robotic surgery has many benefits over traditional open operation, including lower blood loss, reduced hospital stay as well as improved urinary control and erectile function. The latter has been proven in scientific studies.
During his two year fellowship, Dr Arianayagam spent a significant amount of time learning from Dr Murugesan Manoharan, Professor of Urology and Program Director at the Department of Urology of the University of Miami Miller School of Medicine.
With Dr Manoharan as a mentor and teacher, sufficient experience was gained in robotic surgery. Dr Arianayagam is particularly interested in analysing the differences between open and robotic, especially in robotic prostatectomy and cystectomy regarding preserving erectile function. He is considered one of the leading robotic surgeons in country.
If you have any questions about urological surgery how you can help reduce the chance of erectile dysfunction, or would like to book an appointment, please feel free to call.
A bladder fistula is when an abnormal opening forms between the bladder and other organs, usually the bowel or the…