Prevention and Management of Postprostatectomy Sexual Dysfunctions Part 2: Recovery and Preservation of Erectile Function, Sexual Desire, and Orgasmic Function

摘要: Abstract Context Sexual dysfunction is common in patients who undergo radical prostatectomy (RP) for prostate cancer (PCa). Objective Review the available literature concerning prevention of, and management strategies for, post-RP sexual terms of postoperative treatments erectile function (EF), desire (SD), orgasmic (OF) impairment. Evidence acquisition A search was performed using Google PubMed databases English language original review articles either published or e-published up to November 2011. synthesis We propose a rational description many clinically preventive therapeutic preservation recovery EF. huge amount preclinical data show that tissue damage ultimately leads structural alterations, stresses rehabilitation treatment are undoubtedly better than leaving its unassisted fate; likewise, timing any major clinical importance. However, no specific recommendation emerges regarding structure optimal regimen. The role (ED) those received non–nerve-sparing RP also extensively discussed. almost completely lacks systematic comprehensive debate about SD (ie, low libido) OF decreased intensity orgasm, dysorgasmia, climacturia) undergoing RP. Psychological counseling importance improve EF, SD, Conclusions Despite great number possible approaches proposed, these should be considered only as strategies, since incontrovertible evidence their effectiveness improving natural EF limited. Conversely, numerous effective options treating ED. have not yet been fully assessed underwent