title: Penile rehabilitation: the evolutionary concept in the management of erectile dysfunction.
abstract: A compromise in erectile function is commonly experienced after radical prostatectomy and has been attributed to injury to vascular, neurogenic, and smooth muscle. The concept of rehabilitation after organ injury is not a novel concept and is one that has been applied to all aspects of medicine. Penile rehabilitation has been classically defined as the use of a device or pharmacologic agent to aid erectile function recovery after radical prostatectomy. Here we redefine penile rehabilitation as the use of any device, medication, or intervention to promote male sexual function as a primer before and after any insult to the penile erectile physiologic axis. We also review the epidemiology, rational and current literature on penile rehabilitation after prostatectomy.
authors.affiliation: Department of Urology, University of South Florida, 2 Tampa General Circle, Tampa, FL, 33606, USA, tariq7@gmail.com.
authors.forename: Tariq S
authors.initials: TS
authors.lastname: Hakky
authors.forename: Adam S
authors.initials: AS
authors.lastname: Baumgarten
authors.forename: Justin
authors.initials: J
authors.lastname: Parker
authors.forename: Yin
authors.initials: Y
authors.lastname: Zheng
authors.forename: Mike
authors.initials: M
authors.lastname: Kongnyuy
authors.forename: Daniel
authors.initials: D
authors.lastname: Martinez
authors.forename: Rafael E
authors.initials: RE
authors.lastname: Carrion
mesh_terms: D000527:Alprostadil / Q000627:therapeutic use; D007172:Erectile Dysfunction / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D007267:Injections; D008297:Male; D019935:Penile Implantation; D058986:Phosphodiesterase 5 Inhibitors / Q000627:therapeutic use*; D011468:Prostatectomy / Q000009:adverse effects / Q000534:rehabilitation*; D020127:Recovery of Function; D013488:Suppositories; D014665:Vasodilator Agents / Q000627:therapeutic use*
chemical_list: D058986:Phosphodiesterase 5 Inhibitors; D013488:Suppositories; D014665:Vasodilator Agents; D000527:Alprostadil