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Offered research has revealed you to definitely impotency can be expected new common consequences having strong patients in the process of whole gland ablation. When you look at the an effective 2009 breakdown of this new literature, Langenhuijsen and you can associates concluded that really people (80-90%) can get male erectile dysfunction immediately after whole gland cryosurgery and this shouldn’t be accessible to patients who desire maintenance out of efficiency. 77 In a single RCT sexual function results for cryosurgery was substandard so you can EBRT. 76 For the low-randomized cohort education, intimate function outcomes for cryosurgery have been and inferior compared to brachytherapy 257 , 258 and comparable to radical prostatectomy. 258 To alter the probability of erectile function data recovery, nerve-sparing and you can focal prostate cryosurgery could have been advertised. 259 Yet not, focal ablation cryosurgery lacks powerful much time-identity oncologic investigation.