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Penile Rehabilitation After Radical Pelvic Surgery

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Abstract

Erectile dysfunction (ED) due to radical pelvic surgery has been an interesting topic among clinicians. Surgical treatments have a negative impact on the quality of life in these patients and their partner due to incontinence and ED. However there is no standard treatment modality following radical pelvic surgeries such as radical prostatectomy or cystectomy. This article reviews the role for penile rehabilitation on ED after pelvic surgeries.

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References

  1. Siegel R, Desantis C, Virgo K, Stein K, Mariotto A, Smith T, et al. Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin. 2012;62:220–41.

    Google Scholar 

  2. Tal R, Alphs HH, Krebs P, Nelson CJ, Mulhall JP. Erectile function recovery rate after radical prostatectomy: a meta-analysis. J Sex Med. 2009;6(9):2538–46.

    Google Scholar 

  3. Alemozaffar M, Regan MM, Cooperberg MR, Wei JT, Michalski JM, Sandler HM, et al. Prediction of erectile function following treatment for prostate cancer. JAMA [Internet]. 2011;306:1205–14.

    Google Scholar 

  4. Fraiman MC, Lepor H, McCullough AR. Changes in penile morphometrics in Men with erectile dysfunction after nerve-sparing radical retropubic prostatectomy. Mol Urol. 1999;3(2):109–15.

    Google Scholar 

  5. Kadıoğlu A, Ortaç M, Brock G. Pharmacologic and surgical therapies for sexual dysfunction in male cancer survivors. Transl Androl Urol. 2015;4(2):148–59.

    Google Scholar 

  6. Briganti A, Capitanio U, Chun FK, Karakiewicz PI, Salonia A, Bianchi M, et al. Prediction of sexual function after radical prostatectomy. Cancer. 2009;115(13 Suppl):3150–9.

    Google Scholar 

  7. Mulhall JP. Penile rehabilitation following radical prostatectomy. Curr Opin Urol. 2008;18:613–20.

    Google Scholar 

  8. Salonia A, Burnett AL, Graefen M, Hatzimouratidis K, Montorsi F, Mulhall JP, Stief C. Prevention and management of postprostatectomy sexual dysfunctions part 2: recovery and preservation of erectile function, sexual desire, and orgasmic function. Eur Urol. 2012;62(2):273–86.

    Google Scholar 

  9. Salonia A, Castagna G, Capogrosso P, Castiglione F, Briganti A, Montorsi F. Prevention and management of post prostatectomy erectile dysfunction. Transl Androl Urol. 2015;4:421–37.

    Google Scholar 

  10. Moskovic DJ, Alphs H, Nelson CJ, Rabbani F, Eastham J, Touijer K, et al. Subjective characterization of nerve sparing predicts recovery of erectile function after radical prostatectomy: defining the utility of a nerve sparing grading system. J Sex Med. 2011;8:255–60.

    Google Scholar 

  11. Salonia A, Burnett AL, Graefen M, Hatzimouratidis K, Montorsi F, Mulhall JP, et al. Prevention and management of postprostatectomy sexual dysfunctions. Part 1: choosing the right patient at the right time for the right surgery. Eur Urol. 2012;62(2):261–72.

    Google Scholar 

  12. Montorsi F, Nathan HP, McCullough A, Brock GB, Broderick G, Ahuja S, et al. Tadalafil in the treatment of erectile dysfunction following bilateral nerve sparing radical retropubic prostatectomy: a randomized, double-blind, placebo controlled trial. J Urol. 2004;172(3):1036–41.

    Google Scholar 

  13. Padma-Nathan H, McCullough AR, Levine LA, Lipshultz LI, Siegel R, Montorsi F, et al. Randomized, double-blind, placebo-controlled study of postoperative nightly sildenafil citrate for the prevention of erectile dysfunction after bilateral nerve-sparing radical prostatectomy. Int J Impot Res. 2008;20(5):479–86.

    Google Scholar 

  14. Pavlovich CP, Levinson AW, Su LM, Mettee LZ, Feng Z, Bivalacqua TJ, et al. Nightly vs on-demand sildenafil for penile rehabilitation after minimally invasive nerve-sparing radical prostatectomy: results of a randomized double-blind trial with placebo. BJU Int. 2013;112(6):844–51.

    Google Scholar 

  15. Kim DJ, Hawksworth DJ, Hurwitz LM, Cullen J, Rosner IL, Lue TF, et al. A prospective, randomized, placebo-controlled trial of on-demand vs. nightly sildenafil citrate as assessed by rigiscan and the international index of erectile function. Andrology. 2016;4(1):27–32.

    Google Scholar 

  16. Montorsi F, Brock G, Lee J, Shapiro J, Van Poppel H, Graefen M, et al. Effect of nightly versus on-demand vardenafil on recovery of erectile function in men following bilateral nerve-sparing radical prostatectomy. Eur Urol. 2008;54(4):924–31.

    Google Scholar 

  17. Montorsi F, Brock G, Stolzenburg JU, Mulhall J, Moncada I, Patel HR, et al. Effects of tadalafil treatment on erectile function recovery following bilateral nerve-sparing radical prostatectomy: a randomised placebo-controlled study (REACTT). Eur Urol. 2014;65(3):587–96.

    Google Scholar 

  18. Brock G, Montorsi F, Costa P, Shah N, Martinez-Jabaloyas JM, Hammerer P, et al. Effect of tadalafil once daily on penile length loss and morning erections in patients after bilateral nerve-sparing radical prostatectomy: Results from a randomized controlled trial. Urol. 2015;85(5):1090–6.

    Google Scholar 

  19. Patel HR, Ilo D, Shah N, Cuzin B, Chadwick D, Andrianne R, et al. Effects of tadalafil treatment after bilateral nerve-sparing radical prostatectomy: quality of life, psychosocial outcomes, and treatment satisfaction results from a randomized, placebo-controlled phase IV study. BMC Urol. 2015;15:31.

    Google Scholar 

  20. Mulhall JP, Burnett AL, Wang R, McVary KT, Moul JW, Bowden CH, et al. A phase 3, placebo controlled study of the safety and efficacy of avanafil for the treatment of erectile dysfunction after nerve sparing radical prostatectomy. J Urol. 2013;189(6):2229–36.

    Google Scholar 

  21. Kirby MG, White ID, Butcher J, Challacombe B, Coe J, Grover L, et al. Development of UK recommendations on treatment for post-surgical erectile dysfunction. Int J Clin Pract. 2014;68(5):590–608.

    Google Scholar 

  22. Defade BP, Carson 3rd CC, Kennelly MJ. Postprostatectomy erectile dysfunction: the role of penile rehabilitation. Rev Urol. 2011;13(1):6–13.

    Google Scholar 

  23. Mulhall J, Land S, Parker M, Waters WB, Flanigan RC. The use of an erectogenic pharmacotherapy regimen following radical prostatectomy improves recovery of spontaneous erectile function. J Sex Med. 2005;2(4):532–40; discussion 40–2.

    Google Scholar 

  24. Shaiji TA, Chb M, Brock G. Should penile rehabilitation become the norm following radical prostatectomy? Can Urol Assoc J. 2009;3(1):50–3.

    Google Scholar 

  25. Karpman E, Brant WO, Kansas B, Bella AJ, Jones LA, Eisenhart E, et al. Reservoir alternate surgical implantation technique: preliminary outcomes of initial PROPPER study of low profile or spherical reservoir implantation in submuscular location or traditional prevesical space. J Urol. 2015;193(1):239–44.

    Google Scholar 

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Correspondence to Ateş Kadıoğlu MD .

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Ortaç, M., Salabaş, E., Kadıoğlu, A. (2017). Penile Rehabilitation After Radical Pelvic Surgery. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_20

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  • DOI: https://doi.org/10.1007/978-1-4471-4348-2_20

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4347-5

  • Online ISBN: 978-1-4471-4348-2

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