Psicoterapia: una pieza que falta en el puzle de la rehabilitación de la disfunción eréctil tras prostatectomía radical

Naccarato, Angela Maria Elizabeth Piccolotto; Reis, Leonardo Oliveira; Zani, E.L.; Cartapatti, Marcelo; Denardi, Fernandes

doi:10.1016/j.acuro.2013.10.012

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…Sex therapy is particularly not only helpful when ED is caused by stress and anxiety but can also benefit patients even if the main cause is organic. ED pharmacotherapy might also be indicated (Naccarato, Reis, Zani, Cartapatti, & Denardi, 2014;Schmidt, Munder, Gerger, Fruhauf, & Barth, 2014). These interventions aim to improve patient's motivation and confidence for changing and maintaining healthy lifestyles, behavior, and beliefs.…”

Section: Discussionmentioning

confidence: 97%

Prevalence and Associated Factors of Erectile Dysfunction in Patients With Moderate to Severe Psoriasis and Healthy Population: A Comparative Study Considering Physical and Psychological Factors

et al. 2016

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Recent studies have shown that psoriasis is associated with an increased prevalence of erectile dysfunction. To our knowledge, no comparative study has considered simultaneously the role of organic factors and psychological factors in this process. We performed a prospective case series study matched by age to explore the prevalence of erectile dysfunction in psoriasis patients compared to a healthy population and to investigate the role of anxiety, depression, and cardiovascular risk factors in the relationship between psoriasis and erectile dysfunction. The healthy group was matched by frequency to cases by age. Seventy-nine patients with moderate to severe psoriasis and 79 healthy controls participated in the study. Participants completed the Massachusetts General Hospital Sexual Functioning Questionnaire and the Hospital Anxiety and Depression Scale. Psoriasis patients had an increased prevalence of erectile dysfunction in comparison to controls, 34.2 vs. 17.7 % (p < .05). Multivariate analysis showed a significant association between erectile dysfunction and age, smoking and anxiety/depression, but not with psoriasis per se. In conclusion, the higher prevalence of smoking and anxiety/depression among patients with moderate to severe psoriasis probably explains the higher prevalence of erectile dysfunction in this population.

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Section: Discussionmentioning

confidence: 97%

Prevalence and Associated Factors of Erectile Dysfunction in Patients With Moderate to Severe Psoriasis and Healthy Population: A Comparative Study Considering Physical and Psychological Factors

et al. 2016

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“…Esta merma en la CdV no solo se refiere a la vida sexual, puesto que la pérdida de FE y, por tanto, de relaciones sexuales exitosas también puede generar estrés en el individuo, problemas psicológicos y problemas de pareja. En este sentido, existe un interesante artículo de Naccarato et al [210] que evalúa y defiende el papel de la psicoterapia como pieza adicional del puzle de la rehabilitación de la DE tras PR. Concluyen que una combinación de psicoterapia de apoyo y medicación oral (inhibidor de la fosfodiesterasa-5) es eficaz para mejorar la DE en los pacientes sometidos a PR.…”

Section: Definición Y Estudio De La De; Modelo De Predicción Clínica ...unclassified

“…El diagnóstico de un CaP afecta emocionalmente a cualquier persona [210], [226]. Esta afectación podría ser incluso mayor en el caso de pacientes que ya han padecido o padecen otro tipo de cáncer y, secundariamente, afectar en mayor grado a su FE basal y a los 12 meses post-PR (OR 4,592; IC 95%: 1,261-16,723).…”

Section: Definición Y Estudio De La De; Modelo De Predicción Clínica ...unclassified

Análisis comparativo y evolutivo de la prostatectomía radical en la última década. Impacto de la implantación de la cirugía robótica en un único centro español

García¹

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ASA 1 26 (4, 1%) 17 (5,6%) 9 (2 ,7%) 0,006 2 397 (62,6%) 205 (67,4%) 192 (58,2%) 3 203 (32%) 79 (26%) 124 (37,6%) 4 8 (1,3%) 3 (1%) 5 (1,5%) Abordaje quirúrgico PRR 107 (16,9%) 47 (15,5%) 60 (18,2%) 0,009 PRL 137 (21,6%) 52 (17,1%) 85 (2 5,8%) PRLAR 390 (61,5%) 205 (67,4%) 185 (56,1%) Cirujano responsable A 45 (7, 1%) 23 (7,6%) 22 (6,7%) 0,001 B 117 (18,5%) 44 (14,4%) 73 (22,1%) e 7 (1,1%) 3 (1,0%) 4 (1,2%) D 38 (6,0%) 14 (4 ,6%) 24 (7,3%) E 213 (33,6%) 102 (33,6%) 111 (33,6%) F 176 (27,8%) 106 (34,9%) 70 (2 1,2%) G 38 (6,0%) 12 (3,9%) 26 (7,9%) Conservación BNV No 170 (26,8%) 64 (2 1,1%) 106 (32,1%) 0,001 Unilateral 101 (15,9%) 42 (13,8%) 59 (17,9%) Bilateral 363 (57,3%) 198 (65,1%) 165 (50%) Linfadenectomía No 533 (84,1%) 267 (87,8%) 266 (80,6%) 0,013 Sí 101 (15,9%) 37 (12,2%) 64 (19,4%)

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Impacto de la biopsia transrectal de próstata en la función eréctil

Linden-Castro¹,

Pelayo-Nieto²,

Espinosa-Perezgrovas³

et al. 2016

Actas Urológicas Españolas

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Psicoterapia: una pieza que falta en el puzle de la rehabilitación de la disfunción eréctil tras prostatectomía radical

Cited by 6 publications

References 24 publications

Prevalence and Associated Factors of Erectile Dysfunction in Patients With Moderate to Severe Psoriasis and Healthy Population: A Comparative Study Considering Physical and Psychological Factors

Prevalence and Associated Factors of Erectile Dysfunction in Patients With Moderate to Severe Psoriasis and Healthy Population: A Comparative Study Considering Physical and Psychological Factors

Análisis comparativo y evolutivo de la prostatectomía radical en la última década. Impacto de la implantación de la cirugía robótica en un único centro español

Impacto de la biopsia transrectal de próstata en la función eréctil

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