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Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction

PURPOSE OF REVIEW: Due to the increasing numbers of radical prostatectomies (RP) performed for prostate cancer, a substantial number of patients are now suffering from post-operative erectile dysfunction (ED). The aim of this study is to summarize the current literature on surgical techniques for ma...

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Detalles Bibliográficos
Autores principales: Castiglione, Fabio, Ralph, David J., Muneer, Asif
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622908/
https://www.ncbi.nlm.nih.gov/pubmed/28965315
http://dx.doi.org/10.1007/s11934-017-0735-2
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author Castiglione, Fabio
Ralph, David J.
Muneer, Asif
author_facet Castiglione, Fabio
Ralph, David J.
Muneer, Asif
author_sort Castiglione, Fabio
collection PubMed
description PURPOSE OF REVIEW: Due to the increasing numbers of radical prostatectomies (RP) performed for prostate cancer, a substantial number of patients are now suffering from post-operative erectile dysfunction (ED). The aim of this study is to summarize the current literature on surgical techniques for managing post-prostatectomy erectile dysfunction. RECENT FINDINGS: The PubMed database was searched for English-language articles published up to Jan 2017 using the following search terms: “prostatectomy AND erectile dysfunction”, “prostatectomy AND penile prostheses”, and “prostatectomy AND penile implants”. All of the studies that evaluated medical treatment were excluded. In the last few decades, the understanding of the anatomy of the male pelvis and prostate has improved. This has led to significant changes in the nerve-sparing radical prostatectomy techniques, with the aim of preserving post-surgical erectile function (EF). In this scenario, the prostate vascular supply and the anatomy of the neurovascular bundles have a central role. Penile prosthesis implantation is considered the third-line treatment option for RP ED patients, and they have been reported to be a very successful treatment with the highest patient satisfaction rate. SUMMARY: Considering the failure of penile rehabilitation, and the lack of evidence for accessory pudendal artery (APA) preservation and nerve graft, nerve-sparing surgery and penile prostheses represent, today, the only methods to permanently and definitively preserve or erectile function after RP.
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spelling pubmed-56229082017-10-12 Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction Castiglione, Fabio Ralph, David J. Muneer, Asif Curr Urol Rep Urosurgery (P Sooriakumaran, Section Editor) PURPOSE OF REVIEW: Due to the increasing numbers of radical prostatectomies (RP) performed for prostate cancer, a substantial number of patients are now suffering from post-operative erectile dysfunction (ED). The aim of this study is to summarize the current literature on surgical techniques for managing post-prostatectomy erectile dysfunction. RECENT FINDINGS: The PubMed database was searched for English-language articles published up to Jan 2017 using the following search terms: “prostatectomy AND erectile dysfunction”, “prostatectomy AND penile prostheses”, and “prostatectomy AND penile implants”. All of the studies that evaluated medical treatment were excluded. In the last few decades, the understanding of the anatomy of the male pelvis and prostate has improved. This has led to significant changes in the nerve-sparing radical prostatectomy techniques, with the aim of preserving post-surgical erectile function (EF). In this scenario, the prostate vascular supply and the anatomy of the neurovascular bundles have a central role. Penile prosthesis implantation is considered the third-line treatment option for RP ED patients, and they have been reported to be a very successful treatment with the highest patient satisfaction rate. SUMMARY: Considering the failure of penile rehabilitation, and the lack of evidence for accessory pudendal artery (APA) preservation and nerve graft, nerve-sparing surgery and penile prostheses represent, today, the only methods to permanently and definitively preserve or erectile function after RP. Springer US 2017-09-30 2017 /pmc/articles/PMC5622908/ /pubmed/28965315 http://dx.doi.org/10.1007/s11934-017-0735-2 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Urosurgery (P Sooriakumaran, Section Editor)
Castiglione, Fabio
Ralph, David J.
Muneer, Asif
Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction
title Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction
title_full Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction
title_fullStr Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction
title_full_unstemmed Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction
title_short Surgical Techniques for Managing Post-prostatectomy Erectile Dysfunction
title_sort surgical techniques for managing post-prostatectomy erectile dysfunction
topic Urosurgery (P Sooriakumaran, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5622908/
https://www.ncbi.nlm.nih.gov/pubmed/28965315
http://dx.doi.org/10.1007/s11934-017-0735-2
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