Current penile-rehabilitation strategies: Clinical evidence

Research output: Contribution to journalReview articlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)230-236
Number of pages7
JournalArab Journal of Urology
Volume11
Issue number3
DOIs
StatePublished - Sep 2013

Keywords

  • Erectile dysfunction
  • Injection therapy
  • Phosphodiesterase inhibitor
  • Radical prostatectomy
  • Vacuum erection device

ASJC Scopus subject areas

  • Urology

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