title: Penile rehabilitation after radical prostatectomy: patients' attitude and feasibility in China.
abstract: OBJECTIVE
  To investigate the behavior of Chinese erectile dysfunction (ED) patients after radical prostatectomy (RP) who were offered the penile rehabilitation and to assess their attitude and feasibility of rehabilitation after RP in China.
  
  
  METHODS
  Comprehensive medical and sexual histories of 187 evaluable PCa patients for RP were obtained together with their attitude towards penile rehabilitation. The rehabilitation data was compared between patients who accepted this treatment or not. The successful intercourse rate six months after treatment was also compared among three rehabilitation interventions, including phosphodiesterase type 5 inhibitor (PDE-5i), vacuum erection device (VED) and combination of both.
  
  
  RESULTS
  141 (75.4%) patients reported being sexually active in the six months before RP.122 (65.2%) patients wished to preserve sexual activity and 80 (42.8%) had interest in penile rehabilitation after RP. Penile rehabilitation rate was 30.5%. The patients with younger age (P<0.001), higher IIEF-5 score preoperatively (P=0.03) and no adjuvant therapy post-RP (P=0.01) were more acceptable for rehabilitation. Main reasons for refusal of rehabilitation included lack of sexual interest followed by high cost of treatment. The successful intercourse rate was not significantly different among three rehabilitation interventions (P=0.32).
  
  
  CONCLUSIONS
  Less than one-third of Chinese RP patients accepted penile rehabilitation postoperatively. Patients' attitude towards rehabilitation was conservative because of many reasons from traditional Chinese culture, doctors and patients themselves. Penile rehabilitation was feasible and effective in Chinese RP patients.
authors.affiliation: 1 Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China ; 2 Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
authors.forename: Yi-Jun
authors.initials: YJ
authors.lastname: Shen
authors.affiliation: 1 Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China ; 2 Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Li
authors.affiliation: 1 Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China ; 2 Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
authors.forename: Ding-Wei
authors.initials: DW
authors.lastname: Ye
keywords: Attitude; PDE5 inhibitors; erectile dysfunction; penile rehabilitation; radical prostatectomy; vacuum erection device
references.citation: Int J Impot Res. 2007 Sep-Oct;19(5):501-4
references.pmid: 17657210
references.citation: Eur Urol. 2008 Oct;54(4):924-31
references.pmid: 18640769
references.citation: J Sex Med. 2008 Mar;5(3):693-704
references.pmid: 18194174
references.citation: J Sex Med. 2009 Jul;6(7):2032-8
references.pmid: 19453918
references.citation: Eur Urol. 2008 Mar;53(3):564-70
references.pmid: 17761385
references.citation: CA Cancer J Clin. 1999 Sep-Oct;49(5):282-96
references.pmid: 11198955
references.citation: BJU Int. 2012 Dec;110(11 Pt C):E954-7
references.pmid: 23078100
references.citation: Nat Rev Urol. 2009 Aug;6(8):415-27
references.pmid: 19657376
references.citation: J Urol. 2004 Sep;172(3):1036-41
references.pmid: 15311032
references.citation: J Clin Oncol. 2001 Mar 15;19(6):1619-28
references.pmid: 11250990
references.citation: BJU Int. 2007 Oct;100(4):858-62
references.pmid: 17822466
references.citation: Int J Impot Res. 2008 Sep-Oct;20(5):479-86
references.pmid: 18650827
references.citation: J Carcinog. 2012;11:7
references.pmid: 22529743
references.citation: J Sex Med. 2011 May;8(5):1495-502
references.pmid: 21324091
references.citation: J Sex Med. 2007 Jul;4(4 Pt 2):1085-97
references.pmid: 17466058
references.citation: CA Cancer J Clin. 2011 Mar-Apr;61(2):69-90
references.pmid: 21296855
references.citation: J Sex Med. 2011 Aug;8(8):2370-6
references.pmid: 21679306
references.citation: J Sex Med. 2009 Sep;6(9):2538-46
references.pmid: 19515209
references.citation: J Sex Med. 2010 Apr;7(4 Pt 2):1687-98
references.pmid: 20388165