Management of erectile dysfunction post-radical prostatectomy

摘要: Radical prostatectomy is a commonly performed procedure for the treatment of localized prostate cancer. One long-term complications erectile dysfunction. There little consensus on optimal management; however, it agreed that must be prompt to prevent fibrosis and increase oxygenation penile tissue. It vital patient expectations are discussed, realistic time frame provided, started as close possible. Current regimens rely phosphodiesterase 5 inhibitors first-line therapy, with vacuum erection devices intraurethral suppositories alprostadil possible combination options. With nonresponders these therapies, intracavernosal injections resorted to. As final measure, patients undergo highly invasive prosthesis implantation. no uniform, objective program dysfunction post-radical prostatectomy. Management plans based poorly conducted often underpowered studies in physician preferences. They involve aforementioned drugs methods different sequences doses. Prospective treatments include dietary supplements gene which have shown promise there proposed mechanisms improving function but yet applied successfully human patients.