A 62-Year-Old Man Comes to the Office Due to an Elevated

A 62-year-old man comes to the office due to an elevated prostate-specific antigen level on a screening test.  When asked about genitourinary symptoms, the patient says, "It often takes a bit of time before my urine starts flowing," but he has no other problems.  Abdominal and external genital examinations are unremarkable.  Digital rectal examination reveals hard prostate nodules.  A biopsy confirms adenocarcinoma, and the patient undergoes a radical prostatectomy.  During the surgery, the nerves within the fascia surrounding the gland are inadvertently injured.  Which of the following is the most likely consequence of the nerve 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

Correct Answer:

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