Sex life following suprapubic prostatectomy

95 patients who had undergone suprapubic prostatectomy (without complication) were questioned with regard to any alteration in sexual activity. There was a negative influence on sexual activity in more than half of the patients who claimed sexual potency preoperatively (80/95); however, only a few patients (3/80) regarded this loss as being an important problem in changing of sexuality. The following points should be considered before operation. 1. Anatomical structures which are responsible for erection are not destroyed during operation. 2. Retrograde ejaculation will appear in approximately 80% of patients after operation. 3. Decrease in sexual activity is to be expected in 40% of operated males, although no definite connection with the operation modalities can be established.