Preview

Urology Herald

Advanced search

VACUUM THERAPY – PREVENTION OF HYPOXIA OF CAVERNOUS TISSUE PATIENTS AFTER RADICAL PROSTATECTOMY

https://doi.org/10.21886/2308-6424-2018-6-1-48-54

Abstract

Patients, after radical prostatectomy with the use of nerve-sparing techniques, without carrying out penile rehabilitation, are at risk of forming cavernous fibrosis with the emergence of subsequent persistent erectile dysfunction. In order to minimize damage to cavernous tissue and early restoration of erectile function during the period of neuropraxia, it is necessary to ensure a sufficient level of oxygenation. The role of applying vacuum in penile rehabilitation for the prevention of hypoxia of cavernous tissue is not fully understood, due to the lack of data on the gaseous composition of the blood at the time of reaching the vacuum of erection. The purpose of this work was to review the scientific studies devoted to the study of vacuum induced penile erection in animals or humans, which indicates high results due to increased oxygenation of cavernous tissue.

About the Authors

A. E. Osadchinskii
Department of Health of Moscow
Russian Federation

Chief specialist of Management of the organization of inpatient medical care,

Moscow



I. V. Vinogradov
Peoples Friendship University of Russia
Russian Federation

DM, Professor, Head of the Department of Clinical Andrology,

Moscow



S. P. Darenkov
Central State Medical Academy of department of presidential affairs
Russian Federation

MD, Professor, Head of the Department of Urology,

Moscow



References

1. Sheng-Qiang Q, Liang G, Qiang W, Jiuhong Y. Vacuum therapy in penile rehabilitation atier radical prostatectomy: review of hemodynamic and antihypoxic evidence. Asian Journal of Andrology. 2016;18:446-451. doi: 10.4103/1008-682X.159716

2. Welliver R, Mechlin C, Goodwin B, Alukal J, McCullough A. A pilot study to determine penile oxygen saturation before and atier vacuum therapy in patients with erectile dysfunction atier radical prostatectomy. J Sex Med. 2014;11:1071-7. doi:10.1111/jsm.12445

3. Kim N, Vardi Y, Padma-Nathan H, Daley J, Goldstein I, Saenz de Tejada I. Oxygen tension regulates the nitric oxide pathway. Physiological role in penile erection. J Clin Invest. 1993;91:437. doi:10.1172/JCI116220

4. Fisher C, Gross J, Zuch J. Cycle of penile erection synchronous with dreaming (REM) sleep: preliminary report. Arch Gen Psychiatry. 1965;12:29-45. doi: 10.1001/archpsyc.1965.01720310031005

5. Moreland R. Is there a role of hypoxemia in penile brosis: a viewpoint presented to the Society for the Study of Impotence. Int J Impot Res. 1998;10:113-20. doi:10.1038/ sj.ijir.3901042

6. Mulhall J, Morgentaler A. Controversies in sexual medicine: penile rehabilitation should become the norm for radical prostatectomy patients. J Sex Med. 2007;4:538- 43. doi: 10.21037/tau.2016.08.14

7. Hakky T, Baumgarten A, Parker J, Zheng Y, Kongnyuy M, Martinez D, Carrio R. Penile Rehabilitation: The Evolutionary Concept in the Management of Erectile Dysfunction. Current Urology Reports. 2014;15(4):393. doi: 10.1007/s11934-014-0393-6

8. Teloken P, Mesquita G, Montorsi F, Mulhall J. Post-radical prostatectomy pharmacological penile rehabilitation: practice patierns among the international society for sexual medicine practitioners. J Sex Med. 2009;6:2032-8. doi: 10.1111/j.1743-6109.2009.01269.x.

9. Tal R, Teloken P, Mulhall J. Erectile function rehabilitation atier radical prostatectomy: practice paƩ erns among AUA members. J Sex Med. 2011;8:2370-6. doi: 10.1111/j.1743-6109.2011.02355.x

10. Lin H, Wang G, Wang R. Vacuum erectile device for penile rehabilitation. J Integr Nephrol Androl. 2014;1:4-10. doi: 10.4103/2225-1243.137541

11. Bosshardt R, Farwerk R, Sikora R, Sohn M, Jakse G. Objective measurement of the effectiveness, therapeutic success and dynamic mechanisms of the vacuum device. Brit J Urol. 1995;75:786-791. doi: 10.1111/j.1464- 410X.1995.tb07392.x

12. Padmanabhan P, McCullough A. Penile oxygen saturation in the fl accid and erect penis in men with and without erectile dysfunction. J Androl. 2007;28:223-8. doi:10.2164/jandrol.106.001313


Review

For citations:


Osadchinskii A.E., Vinogradov I.V., Darenkov S.P. VACUUM THERAPY – PREVENTION OF HYPOXIA OF CAVERNOUS TISSUE PATIENTS AFTER RADICAL PROSTATECTOMY. Urology Herald. 2018;6(1):48-54. (In Russ.) https://doi.org/10.21886/2308-6424-2018-6-1-48-54

Views: 40448


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2308-6424 (Online)