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Erschienen in: Journal of Robotic Surgery 3/2016

07.06.2016 | Brief Communication

Erectile function post robotic radical prostatectomy: technical tips to improve outcomes?

verfasst von: S. S. Goonewardene, R. Persad, D. Gillatt

Erschienen in: Journal of Robotic Surgery | Ausgabe 3/2016

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Abstract

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.
Literatur
1.
Zurück zum Zitat Smith IA, McLeod N, Rashid P (2010) Erectile dysfunction—when tablets don’t work. Aust Fam Physician 39(5):301–305PubMed Smith IA, McLeod N, Rashid P (2010) Erectile dysfunction—when tablets don’t work. Aust Fam Physician 39(5):301–305PubMed
2.
3.
Zurück zum Zitat Chew KK, Stuckey B, Bremner A, Earle C, Jamrozik K (2008) Male erectile dysfunction: its prevalence in Western Australia and associated sociodemographic factors. J Sex Med 5(1):60–69CrossRefPubMed Chew KK, Stuckey B, Bremner A, Earle C, Jamrozik K (2008) Male erectile dysfunction: its prevalence in Western Australia and associated sociodemographic factors. J Sex Med 5(1):60–69CrossRefPubMed
4.
Zurück zum Zitat Dell’Oglio P, Gandaglia G, Capitanio U, Scattoni V, Suardi N, Russo A et al (2013) Preoperative functional status predicts urinary continence recovery after radical prostatectomy. Eur Urol, Suppl 12(1):e289–e290CrossRef Dell’Oglio P, Gandaglia G, Capitanio U, Scattoni V, Suardi N, Russo A et al (2013) Preoperative functional status predicts urinary continence recovery after radical prostatectomy. Eur Urol, Suppl 12(1):e289–e290CrossRef
5.
Zurück zum Zitat Ghani KR, Trinh QD, Sammon JD, Sun M, Jeong W, Jhaveri J et al (2012) Preoperative nomogram predicting erectile function two years after radical prostatectomy. J Urol 187:e594–e595CrossRef Ghani KR, Trinh QD, Sammon JD, Sun M, Jeong W, Jhaveri J et al (2012) Preoperative nomogram predicting erectile function two years after radical prostatectomy. J Urol 187:e594–e595CrossRef
6.
Zurück zum Zitat Holden CA, Jolley DJ, McLachlan RI, Pitts M, Cumming R, Wittert G et al (2006) Men in Australia Telephone Survey (MATeS): predictors of men’s help-seeking behaviour for reproductive health disorders. Med J Aust 185(8):418–422PubMed Holden CA, Jolley DJ, McLachlan RI, Pitts M, Cumming R, Wittert G et al (2006) Men in Australia Telephone Survey (MATeS): predictors of men’s help-seeking behaviour for reproductive health disorders. Med J Aust 185(8):418–422PubMed
7.
Zurück zum Zitat Chew KK, Bremner A, Jamrozik K, Earle C, Stuckey B (2008) Male erectile dysfunction and cardiovascular disease: is there an intimate nexus? J Sex Med 5(4):928–934CrossRefPubMed Chew KK, Bremner A, Jamrozik K, Earle C, Stuckey B (2008) Male erectile dysfunction and cardiovascular disease: is there an intimate nexus? J Sex Med 5(4):928–934CrossRefPubMed
8.
Zurück zum Zitat Canda AE, Atmaca AF, Cakici OU, Gok B, Arslan M, Altinova S et al (2014) Outcomes of robot-assisted laparoscopic radical prostatectomy in high-risk prostate cancer patients: experience in 34 patients with oncologic and functional outcomes. Eur Urol, Suppl 13(3):39–40CrossRef Canda AE, Atmaca AF, Cakici OU, Gok B, Arslan M, Altinova S et al (2014) Outcomes of robot-assisted laparoscopic radical prostatectomy in high-risk prostate cancer patients: experience in 34 patients with oncologic and functional outcomes. Eur Urol, Suppl 13(3):39–40CrossRef
9.
Zurück zum Zitat Labanaris AP, Zugor V, Wagner C, Schuette A, Lange P, Witt JH (2012) Surgical, oncologic and functional outcomes in patients undergoing salvage robotic assisted laparoscopic radical prostatectomy for the treatment of recurrent prostate cancer. Eur Urol, Suppl 11(1):e341CrossRef Labanaris AP, Zugor V, Wagner C, Schuette A, Lange P, Witt JH (2012) Surgical, oncologic and functional outcomes in patients undergoing salvage robotic assisted laparoscopic radical prostatectomy for the treatment of recurrent prostate cancer. Eur Urol, Suppl 11(1):e341CrossRef
10.
Zurück zum Zitat Sivaraman A, Chauhan S, Coelho RF, Orvieto M, Palmer KJ, Rocco B et al (2011) Robotic salvage prostatectomy for radiorecurrent prostate cancer. Eur Urol, Suppl 10(2):350 Sivaraman A, Chauhan S, Coelho RF, Orvieto M, Palmer KJ, Rocco B et al (2011) Robotic salvage prostatectomy for radiorecurrent prostate cancer. Eur Urol, Suppl 10(2):350
11.
Zurück zum Zitat La Croce G, Germann C, Di Pierro G, Stucky P, Danuser H, Mattei A (2014) Robot assisted radical prostatectomy and pelvic lymph node dissection in a centre with small case load: functional results at follow-up of 5 years. Eur Urol, Suppl 13(1):e748CrossRef La Croce G, Germann C, Di Pierro G, Stucky P, Danuser H, Mattei A (2014) Robot assisted radical prostatectomy and pelvic lymph node dissection in a centre with small case load: functional results at follow-up of 5 years. Eur Urol, Suppl 13(1):e748CrossRef
12.
Zurück zum Zitat La Croce G, Germann C, Danuser H, Mattei A (2014) Bladder neck and urethral sphincter sparing salvage robot assisted radical prostatectomy with intraoperative frozen section after radiotherapy and androgen deprivation therapy. Eur Urol, Suppl 13(1):39CrossRef La Croce G, Germann C, Danuser H, Mattei A (2014) Bladder neck and urethral sphincter sparing salvage robot assisted radical prostatectomy with intraoperative frozen section after radiotherapy and androgen deprivation therapy. Eur Urol, Suppl 13(1):39CrossRef
13.
Zurück zum Zitat Sung GT (2014) The efficacy and safety of tadalafil 5 mg once daily in the treatment of erectile dysfunction after robot-assisted laparoscopic radical prostatectomy: 2 year follow-up. Int J Urol 21:A71 Sung GT (2014) The efficacy and safety of tadalafil 5 mg once daily in the treatment of erectile dysfunction after robot-assisted laparoscopic radical prostatectomy: 2 year follow-up. Int J Urol 21:A71
14.
Zurück zum Zitat Lee BK, Kim KM, Jung JW, Park YH, Kim JH, Lee SC et al (2014) Early start of oral sildenafil 100 mg for erectile dysfunction after robotic assisted laparoscopic radical prostatectomy: preliminary results from randomized prospective trial. Eur Urol, Suppl 13(1):e530–e530aCrossRef Lee BK, Kim KM, Jung JW, Park YH, Kim JH, Lee SC et al (2014) Early start of oral sildenafil 100 mg for erectile dysfunction after robotic assisted laparoscopic radical prostatectomy: preliminary results from randomized prospective trial. Eur Urol, Suppl 13(1):e530–e530aCrossRef
15.
Zurück zum Zitat Montorsi F, Brock G, Stolzenburg JU, Mulhall J, Moncada I, Patel HR et al (2014) Effects of tadalafil treatment on erectile function recovery following bilateral nerve-sparing radical prostatectomy: a randomised placebo-controlled study (REACTT). Eur Urol 65(3):587–596CrossRefPubMed Montorsi F, Brock G, Stolzenburg JU, Mulhall J, Moncada I, Patel HR et al (2014) Effects of tadalafil treatment on erectile function recovery following bilateral nerve-sparing radical prostatectomy: a randomised placebo-controlled study (REACTT). Eur Urol 65(3):587–596CrossRefPubMed
16.
Zurück zum Zitat Gittelman M, McMahon CG, Rodriguez-Rivera JA, Beneke M, Ulbrich E, Ewald S (2010) The POTENT II randomised trial: efficacy and safety of an orodispersible vardenafil formulation for the treatment of erectile dysfunction. Int J Clin Pract 64(5):594–603CrossRefPubMed Gittelman M, McMahon CG, Rodriguez-Rivera JA, Beneke M, Ulbrich E, Ewald S (2010) The POTENT II randomised trial: efficacy and safety of an orodispersible vardenafil formulation for the treatment of erectile dysfunction. Int J Clin Pract 64(5):594–603CrossRefPubMed
17.
Zurück zum Zitat Chung E, Cartmill R (2015) Evaluation of clinical efficacy, safety and patient satisfaction rate after low-intensity extracorporeal shockwave therapy for the treatment of male erectile dysfunction: an Australian first open-label single-arm prospective clinical trial. BJU Int 115:46–49CrossRefPubMed Chung E, Cartmill R (2015) Evaluation of clinical efficacy, safety and patient satisfaction rate after low-intensity extracorporeal shockwave therapy for the treatment of male erectile dysfunction: an Australian first open-label single-arm prospective clinical trial. BJU Int 115:46–49CrossRefPubMed
18.
Zurück zum Zitat Lumbroso P, Butow PB, Lowy M, Woo H (2013) An investigation of factors that affect adoption and compliance with post-prostatectomy treatments for erectile dysfunction. BJU Int 112:54 Lumbroso P, Butow PB, Lowy M, Woo H (2013) An investigation of factors that affect adoption and compliance with post-prostatectomy treatments for erectile dysfunction. BJU Int 112:54
19.
Zurück zum Zitat O’Shaughnessy P, Laws TA (2009) Australian men’s long term experiences following prostatectomy: a qualitative descriptive study. Contemp Nurse 34(1):98–109CrossRef O’Shaughnessy P, Laws TA (2009) Australian men’s long term experiences following prostatectomy: a qualitative descriptive study. Contemp Nurse 34(1):98–109CrossRef
20.
Zurück zum Zitat Chambers SK, Occhipinti S, Schover L, Nielsen L, Zajdlewicz L, Clutton S et al (2014) A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners. Psychooncology 24(7):748–756CrossRefPubMed Chambers SK, Occhipinti S, Schover L, Nielsen L, Zajdlewicz L, Clutton S et al (2014) A randomised controlled trial of a couples-based sexuality intervention for men with localised prostate cancer and their female partners. Psychooncology 24(7):748–756CrossRefPubMed
21.
Zurück zum Zitat Wootten A, Abbott JA, Meyer D, Austin D, Klein B, Murphy DG et al (2014) My road ahead: results from an RCT evaluating an online psychological support program for men with prostate cancer. Asia-Pacific J Clin Oncol 10:101CrossRef Wootten A, Abbott JA, Meyer D, Austin D, Klein B, Murphy DG et al (2014) My road ahead: results from an RCT evaluating an online psychological support program for men with prostate cancer. Asia-Pacific J Clin Oncol 10:101CrossRef
22.
Zurück zum Zitat Schubach K (2010) What are the current treatment strategies for men suffering from erectile dysfunction after radiotherapy for localised prostate cancer? Asia-Pacific J Clin Oncol 6:126CrossRef Schubach K (2010) What are the current treatment strategies for men suffering from erectile dysfunction after radiotherapy for localised prostate cancer? Asia-Pacific J Clin Oncol 6:126CrossRef
Metadaten
Titel
Erectile function post robotic radical prostatectomy: technical tips to improve outcomes?
verfasst von
S. S. Goonewardene
R. Persad
D. Gillatt
Publikationsdatum
07.06.2016
Verlag
Springer London
Erschienen in
Journal of Robotic Surgery / Ausgabe 3/2016
Print ISSN: 1863-2483
Elektronische ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-016-0578-8

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