Preventing strategies for erectile dysfunction following radical prostatectomy and efficacy of early rehabilitation Radi̇kal prostatektomi̇sonrasi görülen erekti̇l i̇i̧slev bozukluǧundan korunma yöntemleri̇ve erken rehabi̇li̇tasyonunun erekti̇l i̇şlev bozukluǧuna etki̇ṡi


Akbal C., Tinay I., Türkeri L. , Şimşek F.

Turk Uroloji Dergisi, vol.32, no.4, pp.443-452, 2006 (Journal Indexed in SCI Expanded) identifier

  • Publication Type: Article / Review
  • Volume: 32 Issue: 4
  • Publication Date: 2006
  • Title of Journal : Turk Uroloji Dergisi
  • Page Numbers: pp.443-452

Abstract

Introduction: Although radical prostatectomy is the golden standard treatment modality for organ confined prostate cancer, postoperative erectile dysfunction is one of the important quality of life problems in urological practice. Here in, we analyzed current strategies for preventing and managing postoperative erectile dysfunction with respect to safety and efficacy. Materials and Methods: We systematically reviewed the current articles by using Medline and addressed the important points for prevention and management of postoperative erectile dysfunction. Results: Proper patient selection and meticulous surgical technique are the important determinants of outcome of the surgery with respect to erectile dysfunction. Early pharmacological treatment for penile rehabilitation should be offered as an effective and safe treatment. Nerve grafting, growth factors, immunophilines, gene and stem cell treatment are promising modalities for the future. Conclusion: Properly selected patients, an experienced surgeon and early penile rehabilitation may diminish erectile dysfunction and increase quality of life of patients without compromising cancer surgery goals.