Penile rehabilitation following treatment for prostate cancer: an analysis of the current state of the art
DOI:
https://doi.org/10.5489/cuaj.1014Abstract
Despite recent advances in surgical technique using laparoscopic
and robotic approaches for the management of early organconfined
prostate cancer, most contemporary reports demonstrate
significant rates of erectile dysfunction comparable to standard
open approaches. Controversy remains related to many of the preand
postoperative management strategies, including agents to
enhance nerve recovery, erectogenic drugs, antioxidants, vasoactive
injectables, vacuum erection devices and nerve grafting procedures.
Additionally, the optimal timing of these interventions
and their duration, dose, frequency and outcome thresholds remain
ill-defined. In our paper, we provide a comprehensive literature
review involving both the basic and clinical data surrounding rehabilitative
approaches.
Malgré des avancées récentes dans les techniques chirurgicales utilisant
la laparoscopie et la robotique pour la prise en charge du cancer
de la prostate au stade précoce, la majorité des rapports récents
font état de taux significatifs de dysfonction érectile se comparant
aux taux associés aux approches ouvertes standard. Bon nombre
des stratégies de traitement préopératoires et postopératoires, comme
les agents favorisant la récupération nerveuse, les médicaments érectogènes,
les antioxydants, les agents vasoactifs injectables, les pompes
péniennes et les greffes de nerfs, font toujours l'objet de controverses.
Par ailleurs, le moment optimal pour effectuer ces
interventions, la durée de ces dernières, la dose, la fréquence et
le seuil d'évaluation des résultats demeurent encore bien mal définis.
Cet article de synthèse présente une revue approfondie de la
littérature comprenant les données de recherche fondamentale et
les données cliniques concernant les approches de réadaptation.
Downloads
Downloads
How to Cite
Issue
Section
License
You, the Author(s), assign your copyright in and to the Article to the Canadian Urological Association. This means that you may not, without the prior written permission of the CUA:
- Post the Article on any Web site
- Translate or authorize a translation of the Article
- Copy or otherwise reproduce the Article, in any format, beyond what is permitted under Canadian copyright law, or authorize others to do so
- Copy or otherwise reproduce portions of the Article, including tables and figures, beyond what is permitted under Canadian copyright law, or authorize others to do so.
The CUA encourages use for non-commercial educational purposes and will not unreasonably deny any such permission request.
You retain your moral rights in and to the Article. This means that the CUA may not assert its copyright in such a way that would negatively reflect on your reputation or your right to be associated with the Article.
The CUA also requires you to warrant the following:
- That you are the Author(s) and sole owner(s), that the Article is original and unpublished and that you have not previously assigned copyright or granted a licence to any other third party;
- That all individuals who have made a substantive contribution to the article are acknowledged;
- That the Article does not infringe any proprietary right of any third party and that you have received the permissions necessary to include the work of others in the Article; and
- That the Article does not libel or violate the privacy rights of any third party.