Patients who have had radical prostatectomy for prostate cancer have a much higher rate of impotence after surgery because the extent of removal is more extensive than for simple prostate enlargement, causing significantly more nerve damage. However, this does not mean that people who have had radical surgery cannot have sex again after surgery. In older men with prostate enlargement, some of them need surgery due to heavy urinary obstruction. The most common ones are retrograde ejaculation and impotence. Retrograde ejaculation means that when a man ejaculates during intercourse, semen cannot be ejected from the urethra, but goes backwards into the bladder. The reason for this is that prostate surgery can damage the neck of the bladder so that the inner bladder opening, which should normally close, cannot close or does not close completely. The occurrence of retrograde ejaculation does not actually affect sexual life, and as long as the patient understands the mechanism of retrograde ejaculation, he or she can fully adapt to the situation after surgery, which generally does not affect sexual pleasure and is not harmful to the body. Surgical trauma that damages the nerves that control penile erection can lead to impotence, but this is not common. It is a great pity that most of the patients become “impotent” or never try to have sex again after the surgery, mostly due to psychological factors. This is a very bad thing. Some elderly people often take it for granted that since the prostate is related to sex, the prostate has lost its sexual function after the surgery; some other elderly people have fully recovered from the surgery and noticed the natural erection of the penis, but because of the lack of medical knowledge, they are afraid that the resumption of sex will affect the effect of the surgery and make the urethral obstruction recur and suppress their sexual desire; some other elderly people have low self-esteem because of the “lower body The “lower body” has been operated on and generated low self-esteem, repression, negative emotions, over time, due to the disuse of the organ led to the real impotence, and even developed into depression. There are roughly four surgical methods for prostate removal, namely transurethral, suprapubic, retropubic, and transepithelial prostate removal. Because of the different surgical methods of prostatectomy, the type and percentage of sexual dysfunction caused varies. Transurethral resection of the prostate is the transurethral removal of enlarged prostate tissue using an electrosurgical scope. This procedure does not affect either the nerves that control penile erection or the blood supply to the penis, so it is less likely to cause impotence. However, this surgical method tends to damage the bladder neck and can cause retrograde ejaculation. Suprapubic transsphenoidal prostatectomy is the most widely used surgical method in clinical practice. Because this procedure requires incision of the anterior bladder wall as well as rippling tissue around the bladder neck, retrograde ejaculation may occur in those who undergo this procedure, but it is not uncommon for impotence to develop after surgery. The retropubic prostatectomy is a less common procedure for sexual dysfunction because the bladder is not incised, but the enlarged prostate is removed directly. Trans-perineal prostatectomy is the procedure with the highest incidence of postoperative impotence. Because of the complex anatomy of the perineum, the nerves that control penile erection can easily be damaged during surgery leading to impotence, but this procedure is less commonly used. Patients who have undergone radical prostatectomy for prostate cancer have a much higher rate of impotence after surgery because the extent of resection is more extensive than for simple prostate enlargement, causing significantly more chances of nerve damage. However, this does not mean that people who have had radical surgery cannot have sex again after surgery. As long as the patient recovers well after surgery and the penis is able to get an erection, they can still ‘maintain a moderate amount of sex. The actual fact is, even if retrograde ejaculation occurs after surgery, there is no need to be overly concerned, as sexual function can mostly be restored to the pre-operative level. The actual fact is that you can find a lot of people who have been in the business for a long time. The actual fact is that the actual person is not only old, but also has a negative psychology of having a sexual life, and his or her spouse does not have to be overly cautious, or out of love, fear that the patient’s sexual life will affect his or her recovery and not cooperate with his or her partner, but the consequences will cause the patient’s sexual function to gradually diminish, not only to lose the enjoyment of sexual life, but also to the detriment of Health and longevity.