First of all, it is important to determine what kind of symptoms or diagnosis you have, and what kind of procedure is being proposed.
If you are suffering from general prostate enlargement, or benign prostatic hypertrophy, then the usual procedure is not complete removal of the prostate but, rather, a procedure in which the inner portion of the prostate is "trimmed" away, allowing the urine to pass more freely. This procedure is called a trans-urethral resection of the prostate (TURP). Complete removal of the prostate (prostatectomy) is not used for benign prostatic hypertrophy, but it may be necessary in some cases of prostate cancer
Unfortunately, both the TURP procedure and the prostatectomy have sexual dysfunction
after the procedure as a common complication. In the case of the TURP procedure, a large proportion of men will have trouble ejaculating, although most will still be able to achieve an erection. With the prostatectomy, the rates of sexual dysfunction are even higher than with a TURP procedure.
Because of the complications associated with these procedures, it is important to talk carefully with your urologist
prior to electing to have a procedure. They will be able to help you determine if a procedure is the right choice for you.