PREVENTION AND TREATMENT OF ERECTILE DYSFUNCTION IN PATIENTS AFTER RADICAL NERVESPARING PROSTATECTOMY
https://doi.org/10.21886/2308-6424-2015-0-4-50-64
Abstract
The purpose of our research is to improve the quality of life of patients undergoing radical prostatectomy. With the increasing frequency of prostate cancer and determining the effectiveness of surgical treatment significantly increased the number of radical prostatectomy. Surgical treatment is definitely in much greater extent when compared to radiation treatments related to the development of impotence, erectile dysfunction and urinary incontinence.The incidence of erectile dysfunction after prostatectomy ranges from 10 to 50%. Therefore, the development of new programmes for the rehabilitation of patients can improve their quality of life, due to the greater likelihood of recovery of erectile function after the operation. In our study we observed 84 patient. The incidence of erectile dysfunction was 76%. After applying one of the existing methods of stimulation: FDÈ5 inhibitors, intracavernose injections of prostaglandin, physical therapy, we were able to increase the effectiveness of treatment up to 54.8%, 40% and 70% respectively.
About the Authors
P. A. Karnaukh
The Chelyabinsk Regional Clinical Oncology Center, South Ural State Medical University
Russian Federation
Russian Federation
S. V. Jaitcev
The Chelyabinsk Regional Clinical Oncology Center, South Ural State Medical University
Russian Federation
Russian Federation
A. V. Vazhenin
The Chelyabinsk Regional Clinical Oncology Center, South Ural State Medical University
Russian Federation
Russian Federation
M. A. Zolotykh
The Chelyabinsk Regional Clinical Oncology Center, South Ural State Medical University
Russian Federation
Russian Federation
A. A. Peretruhin
The Chelyabinsk Regional Clinical Oncology Center, South Ural State Medical University
Russian Federation
Russian Federation
References
1. Gleason, D. F.: Histologic grading and clinical staging of prostatic carcinoma. In: Urologic Pathology: The Prostate. Edited by M. Tannenbaum. Philadelphia: Lea and Febiger, chapt. 9, pp. 171–197, 1977
2. McCammon, K. A., Kolm, P., Main, B. et al: Comparative quality-of-life analysis after radical prostatectomy or external beam radiation for localized prostate cancer. Urology, 54: 509, 1999
3. Walsh, P. C.: Anatomic radical prostatectomy: evolution of the surgical technique. J Urol, 160: 2418, 1998
4. Schover, L. R., Fouladi, R. T., Warneke, C. L., Neese, L., Klein, E. A., Zippe, C. et al: Defining sexual outcomes after treatment for localized prostate carcinoma. Cancer, 95: 1773,2002
5. Kundu, S. D., Roehl, K. A., Eggener, S. E., Antenor, J. A., Han, M. and Catalona, W. J.: Potency, continence and complications in 3,477 consecutive radical retropubic prostatectomies. J Urol, 172: 2227, 2004
6. Su, L. M., Link, R. E., Bhayani, S. B., Sullivan, W. and Pavlovich, C. P.: Nerve-sparing laparoscopic radical prostatectomy: replicating the open surgical technique. Urology, 64: 123, 2004
7. Efficacy and safety of transurethral alprostadil in patients with erectile dysfunction following radical prostatectomy. J Urol. 160: 1326-1328, 1998
8. Gold, L., Clark W: Systematic review of randomized controlled trials of sildenafil (Viagra) in the treatment of male erectile dysfunction. Br J Gen Pract 2001; 51: 1004.
Review
For citations:
Karnaukh P.A., Jaitcev S.V., Vazhenin A.V., Zolotykh M.A., Peretruhin A.A. PREVENTION AND TREATMENT OF ERECTILE DYSFUNCTION IN PATIENTS AFTER RADICAL NERVESPARING PROSTATECTOMY. Urology Herald. 2015;(4):50-64. (In Russ.) https://doi.org/10.21886/2308-6424-2015-0-4-50-64
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