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Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men

Prostate cancer (PCa) is the most common solid neoplasm diagnosed in developed countries. Nerve-sparing radical prostatectomy (NS-RP) has been widely accepted as the best choice treatment for localised PCa. However, erectile dysfunction (ED) and urinary incontinence are commonly observed after NS-RP...

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Autores principales: Li, Jinhong, Shi, Qingquan, Pu, Chunxiao, Tang, Yin, Bai, Yunjin, Yuan, Haichao, Li, Xiang, Dong, Qiang, Wei, Qiang, Yuan, Jiuhong, Han, Ping
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107345/
https://www.ncbi.nlm.nih.gov/pubmed/25052550
http://dx.doi.org/10.1038/srep05801
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author Li, Jinhong
Shi, Qingquan
Pu, Chunxiao
Tang, Yin
Bai, Yunjin
Yuan, Haichao
Li, Xiang
Dong, Qiang
Wei, Qiang
Yuan, Jiuhong
Han, Ping
author_facet Li, Jinhong
Shi, Qingquan
Pu, Chunxiao
Tang, Yin
Bai, Yunjin
Yuan, Haichao
Li, Xiang
Dong, Qiang
Wei, Qiang
Yuan, Jiuhong
Han, Ping
author_sort Li, Jinhong
collection PubMed
description Prostate cancer (PCa) is the most common solid neoplasm diagnosed in developed countries. Nerve-sparing radical prostatectomy (NS-RP) has been widely accepted as the best choice treatment for localised PCa. However, erectile dysfunction (ED) and urinary incontinence are commonly observed after NS-RP. Using meta-analysis, we examined if phosphodiesterase type 5 inhibitors (PDE5-Is) could improve the symptoms of ED in patients undergoing NS-RP. This review contained seven randomised placebo-controlled trials with a total of 2,655 male patients. Patients in PDE5-Is group showed significant improvement in the International Index of Erectile Function-Erectile Function domain score (IIEF-EF), Global Assessment Questionnaire (GAQ), Sexual Encounter Profile question 2 (SEP-2) and SEP-3. Although the incidence of treatment-emergent adverse events (TEAEs) were high in both groups (56.44% vs. 40.63%), the safety profile were acceptable, with low incidence of discontinuation rate due to adverse events. Therefore, PDE5-Is are recommended for the treatment of post-NS-RP ED. Patients should be informed of possible adverse events.
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spelling pubmed-41073452014-07-23 Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men Li, Jinhong Shi, Qingquan Pu, Chunxiao Tang, Yin Bai, Yunjin Yuan, Haichao Li, Xiang Dong, Qiang Wei, Qiang Yuan, Jiuhong Han, Ping Sci Rep Article Prostate cancer (PCa) is the most common solid neoplasm diagnosed in developed countries. Nerve-sparing radical prostatectomy (NS-RP) has been widely accepted as the best choice treatment for localised PCa. However, erectile dysfunction (ED) and urinary incontinence are commonly observed after NS-RP. Using meta-analysis, we examined if phosphodiesterase type 5 inhibitors (PDE5-Is) could improve the symptoms of ED in patients undergoing NS-RP. This review contained seven randomised placebo-controlled trials with a total of 2,655 male patients. Patients in PDE5-Is group showed significant improvement in the International Index of Erectile Function-Erectile Function domain score (IIEF-EF), Global Assessment Questionnaire (GAQ), Sexual Encounter Profile question 2 (SEP-2) and SEP-3. Although the incidence of treatment-emergent adverse events (TEAEs) were high in both groups (56.44% vs. 40.63%), the safety profile were acceptable, with low incidence of discontinuation rate due to adverse events. Therefore, PDE5-Is are recommended for the treatment of post-NS-RP ED. Patients should be informed of possible adverse events. Nature Publishing Group 2014-07-23 /pmc/articles/PMC4107345/ /pubmed/25052550 http://dx.doi.org/10.1038/srep05801 Text en Copyright © 2014, Macmillan Publishers Limited. All rights reserved http://creativecommons.org/licenses/by-nc-sa/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder in order to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/
spellingShingle Article
Li, Jinhong
Shi, Qingquan
Pu, Chunxiao
Tang, Yin
Bai, Yunjin
Yuan, Haichao
Li, Xiang
Dong, Qiang
Wei, Qiang
Yuan, Jiuhong
Han, Ping
Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
title Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
title_full Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
title_fullStr Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
title_full_unstemmed Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
title_short Phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
title_sort phosphodiesterase type 5 inhibitors for the treatment of post-nerve sparing radical prostatectomy erectile dysfunction in men
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4107345/
https://www.ncbi.nlm.nih.gov/pubmed/25052550
http://dx.doi.org/10.1038/srep05801
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