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A 70-Year-Old Man Presented to the Office Complaining of Difficulty

Question 172

Multiple Choice

A 70-year-old man presented to the office complaining of difficulty voiding initiation. The patient does not complain of any other symptoms. Abdominal and external genital examinations are unremarkable. Digital rectal examination reveals hard prostate nodules. Prostate-specific antigen levels are high. Transrectal biopsy confirmed the diagnosis of prostatic adenocarcinoma. During the surgery of radical prostatectomy, the nerves found within the fascia covering the prostate are injured. Which of the following would be the result of this injury?


A) Detrusor muscle overactivity
B) Erectile dysfunction
C) External urethral sphincter paralysis
D) Fecal incontinence
E) Loss of cremasteric reflex
F) Loss of penile skin sensation

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