{"title":"Rehabilitation of the Impotent Patient: An Update.","authors":"Steers","doi":"","DOIUrl":null,"url":null,"abstract":"<p><p>Erectile dysfunction (ED) affects as many as 90% of patients after treatment for prostate cancer. Denervation appears to be the primary mechanism after either surgery or radiation; venooclusion or smooth-muscle dysfunction may follow. There may also be a vasculogenic component. Changes in surgical technique and pharmacologic prophylaxis may reduce the likelihood of ED. In men who desire reversal of ED, a stepwise approach beginning with oral sildenafil and, if that drug is ineffective, moving to intraurethral or intracavernous therapy and, finally, to a surgical approach is advisable.</p>","PeriodicalId":80296,"journal":{"name":"Molecular urology","volume":"3 3","pages":"323-326"},"PeriodicalIF":0.0000,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Molecular urology","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Erectile dysfunction (ED) affects as many as 90% of patients after treatment for prostate cancer. Denervation appears to be the primary mechanism after either surgery or radiation; venooclusion or smooth-muscle dysfunction may follow. There may also be a vasculogenic component. Changes in surgical technique and pharmacologic prophylaxis may reduce the likelihood of ED. In men who desire reversal of ED, a stepwise approach beginning with oral sildenafil and, if that drug is ineffective, moving to intraurethral or intracavernous therapy and, finally, to a surgical approach is advisable.