TY - JOUR
T1 - Current penile-rehabilitation strategies
T2 - Clinical evidence
AU - Segal, Robert L.
AU - Bivalacqua, Trinity J.
AU - Burnett, Arthur L.
PY - 2013/9
Y1 - 2013/9
N2 - We review the current strategies used for penile rehabilitation (PR) after a radical prostatectomy, where PR is defined as the attempt to restore spontaneous erectile function so that the patient can generate erections with no need for erectile aids. We searched PubMed for relevant reports, using the keywords 'radical prostatectomy', 'penile rehabilitation', 'phosphodiesterase inhibitors', 'vacuum erection device', 'injection therapy', 'urethral suppository', and 'erectile dysfunction'. In all, 155 articles were identified and reviewed, and had a level of evidence ranging from 1b-4. The use of PR strategies should be based on the patient's goals after a thorough explanation of realistic expectations, and the risks and consequences of the various treatment options. While a multitude of studies suggest a benefit with PR strategies, there are no established, proven regimens. Further research is needed to establish the optimal approaches to PR.
AB - We review the current strategies used for penile rehabilitation (PR) after a radical prostatectomy, where PR is defined as the attempt to restore spontaneous erectile function so that the patient can generate erections with no need for erectile aids. We searched PubMed for relevant reports, using the keywords 'radical prostatectomy', 'penile rehabilitation', 'phosphodiesterase inhibitors', 'vacuum erection device', 'injection therapy', 'urethral suppository', and 'erectile dysfunction'. In all, 155 articles were identified and reviewed, and had a level of evidence ranging from 1b-4. The use of PR strategies should be based on the patient's goals after a thorough explanation of realistic expectations, and the risks and consequences of the various treatment options. While a multitude of studies suggest a benefit with PR strategies, there are no established, proven regimens. Further research is needed to establish the optimal approaches to PR.
KW - Erectile dysfunction
KW - Injection therapy
KW - Phosphodiesterase inhibitor
KW - Radical prostatectomy
KW - Vacuum erection device
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U2 - 10.1016/j.aju.2013.03.005
DO - 10.1016/j.aju.2013.03.005
M3 - Review article
C2 - 26558087
AN - SCOPUS:84885472510
SN - 2090-598X
VL - 11
SP - 230
EP - 236
JO - Arab Journal of Urology
JF - Arab Journal of Urology
IS - 3
ER -