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Erectile dysfunction can begin immediately following the removal of the entire prostate and surrounding tissues, whether the nerve-sparing or non-nerve-sparing technique is used. If the nerve-sparing technique is used, recovery from ED may occur within the first year following the procedure.
The onset of ED following radiation therapy is gradual and usually begins within 2 to 3 years following treatment.

When hormone therapy is used, ED may occur approximately two to four weeks following the initiation of the therapy and is usually accompanied by a decreased desire for sex.
The current methods of treating prostate cancer, including surgery with radical prostatectomy (removal of the entire prostate gland), radiation therapy -- whether by external beam or brachytherapy (seed implant) -- and hormone therapy, can all cause ED.
Recovery of erectile function after a non-nerve-sparing technique is unlikely but possible.

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