Penile vibratory stimulation in the recovery of urinary continence and erectile function after nerve-sparing radical prostatectomy: a randomized, controlled trial.

作者: Mikkel Fode , Michael Borre , Dana A. Ohl , Jonas Lichtbach , Jens Sønksen

DOI: 10.1111/BJU.12501

关键词: Urinary incontinenceProstatectomyMedicineFrenulumUrinary continenceRandomized controlled trialSurgeryVibratory stimulationErectile dysfunctionUrinary system

摘要: Objective To examine the effect of penile vibratory stimulation (PVS) in preservation and restoration erectile function urinary continence conjunction with nerve-sparing radical prostatectomy (RP). Patients Methods The present study was conducted between July 2010 March 2013 as a randomized prospective trial at two university hospitals. Eligible participants were continent men an International Index Erectile Function-5 (IIEF-5) score least 18, scheduled to undergo RP. Patients PVS group or control group. Patients instructed using device (FERTI CARE® vibrator). Stimulation performed frenulum once daily by patients their own homes for 1 week before surgery. After catheter removal, re-initiated period 6 weeks. Participants evaluated 3, 12 months after surgery IIEF-5 questionnaire questions regarding bother. up one pad security reasons only considered continent. The registered http://clinicaltrials.gov/ (NCT01067261). Results Data from 68 available analyses (30 38 group). The highest all time points median 18 vs 7.5 (P = 0.09), but difference reached borderline significance. At months, 16/30 (53%) had while this case 12/38 (32%) 0.07). There no significant differences proportions groups months. At 90% continent, 94.7% 0.46). Conclusion The did not document PVS. However, method proved be acceptable most there trend towards better More studies are needed explore possible further.

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