Pelvic Surgery

Bladder and bowel dysfunction can greatly affect patients' quality of life. The mechanism of injury to these organs from surgery in the pelvis is obvious, however, operations to remove tumors involving the brain and spinal cord can also impact urinary and bowel control. Urinary continence can be affected by any procedure in the pelvis, but prostatectomy and hysterectomy are the most common culprits. Pelvic muscle exercises and medications such as oxybutanin or tolterodine can be helpful, but some patients need further surgical intervention such as the implantation of prosthetic urethral sphincters. Damage to the autonomic nerves, such as during a prostatectomy, can also cause erectile dysfunction which may require pharmacologic or surgical management.

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