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Sexual Rehabilitation After Treatment For Prostate Cancer-Part 2: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015).

ΤίτλοςSexual Rehabilitation After Treatment For Prostate Cancer-Part 2: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015).
Publication TypeJournal Article
Year of Publication2017
AuthorsSalonia, A., Adaikan G., Buvat J., Carrier S., El-Meliegy A., Hatzimouratidis K., McCullough A., Morgentaler A., Torres L. Otavio, & Khera M.
JournalJ Sex Med
Volume14
Issue3
Pagination297-315
Date Published2017 Mar
ISSN1743-6109
Λέξεις κλειδιάAged, Erectile Dysfunction, Evidence-Based Medicine, Humans, International Cooperation, Male, Middle Aged, Penile Erection, Postoperative Complications, Postoperative Period, Practice Guidelines as Topic, Prostatectomy, Prostatic Neoplasms, Recovery of Function, Sexual Behavior
Abstract

INTRODUCTION: Sexual dysfunction is common in patients after radical prostatectomy (RP) for prostate cancer.AIM: To provide the International Consultation for Sexual Medicine (ICSM) 2015 recommendations concerning management strategies for post-RP erectile function impairment and to analyze post-RP sexual dysfunction other than erectile dysfunction.METHODS: A literature search was performed using Google and PubMed database for English-language original and review articles published up to August 2016.MAIN OUTCOME MEASURES: Levels of evidence (LEs) and grades of recommendations (GRs) are provided based on a thorough analysis of the literature and committee consensus.RESULTS: Nine recommendations are provided by the ICSM 2015 committee on sexual rehabilitation after RP. Recommendation 6 states that the recovery of postoperative erectile function can take several years (LE = 2, GR = C). Recommendation 7 states there are conflicting data as to whether penile rehabilitation with phosphodiesterase type 5 inhibitors improves recovery of spontaneous erections (LE = 1, GR = A). Recommendation 8 states that the data are inadequate to support any specific regimen as optimal for penile rehabilitation (LE = 3, GR = C). Recommendation 9 states that men undergoing RP (any technique) are at risk of sexual changes other than erectile dysfunction, including decreased libido, changes in orgasm, anejaculation, Peyronie-like disease, and changes in penile size (LE = 2, GR = B).CONCLUSION: This article discusses Recommendations 6 to 9 of the ICSM 2015 committee on sexual rehabilitation after RP. Salonia A, Adaikan G, Buvat J, et al. Sexual Rehabilitation After Treatment For Prostate Cancer-Part 2: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015). J Sex Med 2017;14:297-315.

DOI10.1016/j.jsxm.2016.11.324
Alternate JournalJ Sex Med
PubMed ID28262100

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