A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?

Rationale: A. Erectile dysfunction is a common and significant complication following prostatectomy. During surgery, nerves responsible for penile erection (the cavernous nerves) can be damaged or removed, especially in radical prostatectomy procedures. This can lead to temporary or permanent erectile dysfunction. Rehabilitation options may include phosphodiesterase inhibitors (e.g., sildenafil), vacuum devices, or penile implants to help restore sexual function. B. Cystitis (bladder inflammation) can occur due to infection or irritation from a catheter, but it is not a direct surgical complication of prostatectomy. It is usually mild and preventable with proper catheter care and hydration. C. Paralytic ileus (temporary cessation of bowel activity) may occur after abdominal surgery, but prostatectomy typically involves the pelvic region, and while possible, it is not the most common or expected complication. D. Testicular torsion involves twisting of the spermatic cord, cutting off blood flow to the testis. This is an acute urologic emergency but is unrelated to prostate surgery.