Erectile function post robotic radical prostatectomy: technical tips to improve outcomes?
Robotic surgery is becoming more and more commonplace. At the same time, so are complications, especially related to erectile function. The population being diagnosed with cancer is younger, with more aggressive cancers and higher expectations for good erectile function postoperatively. We conduct a retrospective analysis of literature over 20 years for Embase and Medline. Search terms used include (Robotic) AND (prostatectomy) AND (erectile function). There are a variety of multifactorial causes, resulting in worsening ED post-robotic radical prostatectomy; however, there are a number of treatments that can support this. There is much we can do to help prevent patients getting postoperative erectile dysfunction post-radical surgery. However, part of this is management of realistic patient expectations.
The Royal Free Hospital and UCL Partners, London, UK. ssg7727@yahoo.co.uk.
S S
SS
Goonewardene
North Bristol NHS Trust, Bristol, UK.
R
R
Persad
McQuarrie University, Sydney, Australia.
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D
Gillatt
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D007172:Erectile Dysfunction / Q000517:prevention & control*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007989:Libido; D008096:Lithotripsy / Q000379:methods; D008297:Male; D008875:Middle Aged; D059351:Organ Sparing Treatments / Q000379:methods; D017060:Patient Satisfaction; D010410:Penile Erection / Q000502:physiology; D058986:Phosphodiesterase 5 Inhibitors / Q000627:therapeutic use; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000503:physiopathology / Q000601:surgery*; D016032:Randomized Controlled Trials as Topic; D065287:Robotic Surgical Procedures / Q000379:methods*; D000068581:Tadalafil / Q000627:therapeutic use; D020196:Trauma, Nervous System / Q000517:prevention & control; D016896:Treatment Outcome; D055815:Young Adult
D058986:Phosphodiesterase 5 Inhibitors; D000068581:Tadalafil
Advances; Erectile function; Robotic radical prostatectomy