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If the prostate gland is removed, which is called a radical prostectomy, the removal of the prostate prevents a man from being able to achieve a spontaneous erection, and will need the aid of medication or an erectile dysfunction pump.
In a simple orchiectomy, the testicle and just a short segment of the spermatic cord are removed, typically through an incision in the scrotal wall. Simple orchiectomies are performed for reasons of severe infection or chronic pain. Both testicles can be removed to temporarily help in the treatment of prostate cancer.