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Management of Erectile Dysfunction Following Radical Prostatectomy

  • Craig D. Zippe
  • Rupesh Raina
Chapter
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Part of the Current Clinical Urology book series (CCU)

Abstract

Radical prostatectomy (RP) has been the gold standard treatment for organ/specimen-confined prostate cancer for several decades. Improved surgical techniques have decreased the rate of “total” and stress-induced incontinence to < 10%, but urologists still report that most patients experience erectile dysfunction (ED) following RP (1–3). Although the surgical technique and experience remain the dominant variables in outcome, other factors affecting postoperative ED include the patient’s age, preoperative sexual function, psychological adjustment to a cancer diagnosis, and coexisting medical diseases (i.e., diabetes, hypertension). Other preoperative variables include the stage of disease, preservation of the neurovascular bundles, urinary incontinence, and adjuvant treatments (radiation therapy, hormonal therapy) (3–4).

Keywords

Erectile Dysfunction Radical Prostatectomy Sexual Satisfaction Erectile Function Neurovascular Bundle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Craig D. Zippe
  • Rupesh Raina

There are no affiliations available

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