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Ejaculation the release of fluid during orgasm will no longer occur in any patient. This is because the seminal vesicles which store fluid for ejaculation, and the vas deferens the tubes that carry sperm to the prostateare removed and cut during the surgery.

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Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and the smooth muscle of the corpus cavernosum. This response is Erectile Dysfunction causes by the release of nitric erectile dysfunction NO from nerve terminals and endothelial cells, which stimulates the synthesis of cyclic guanosine monophosphate more commonly known as cyclic GMP or cGMP in smooth muscle cells. Tadalafil and sildenafil and vardenafil inhibits PDE5.

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