Managing erectile dysfunction after robotic prostatectomy: Role of penile rehabilitation

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Abstract

The ultimate goal of penile rehabilitation is to minimize the physical and emotional impact of sexual dysfunction and loss of penile length postprostatectomy. This can only be accomplished by defining optimal management strategies for the treatment and possible prevention of these significant side effects. When considering the available objective data, there is no current consensus or clinical evidence to support any specific penile rehabilitation program. What is the best drug or device regimen to use? When should one begin the rehabilitation regimen and for how long should it continue? How can one objectively measure success of a particular rehabilitation regimen? Is the potential financial impact to the US health care system justified? Despite these questions, there is consensus that early, aggressive intervention, whether pharmacologic or by device, probably affords post-prostatectomy patients the best opportunity for maximal recovery of sexual function. Certainly, there are benefits to the patient and partner (aka “the couple”) in terms of improved quality of life, overall satisfaction, and maintaining intimacy during a tumultuous period in their lives. In the end, large, prospective, multicentered, placebo-controlled trials with long-term follow-up will be needed to answer these questions.

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APA

Hakim, L. S., & Mathe, M. (2012). Managing erectile dysfunction after robotic prostatectomy: Role of penile rehabilitation. In Robotic Urologic Surgery, Second Edition (pp. 471–488). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-84882-800-1_44

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