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The second priority is to maintain urinary function. Often it is not until after surgery that sexual function moves front and centre.
The first priority, says Goldenberg, is to get all the cancer out.
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“He showed up on one of our dates and said ‘I just had a biopsy’.” He downplayed it. “He had gone to a urologist friend, who had not found anything and he let it go.” A year later his prostate-specific antigen count had doubled. “We peel the nerves off the prostate, it’s very delicate.
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