A pilot study on the early use of the vacuum erection device after radical retropubic prostatectomy

Köhler, Tobias; Pedro, Renato N.; Hendlin, Kari; Utz, William J.; Ugarte, Roland; Reddy, Pratap K.; Makhlouf, Antoine A.; Ryndin, Igor; Canales, Benjamin K.; Weiland, Derek; Nakib, Nissrine; Ramani, Anup P.; Anderson, J. Kyle; Monga, Manoj

doi:10.1111/j.1464-410x.2007.07161.x

Cited by 194 publications

(127 citation statements)

References 27 publications

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“…Studies as well as review articles on this topic that summarize research to date are available in this and other publications. 1,3,5,6,8,9,[11][12][13][14] In spite of the advances toward the restoration of erectile functioning promoted by nerve-sparing surgery, [15][16][17][18] penile rehabilitation 16,[19][20][21][22] and erectogenic aids, 3,11,[23][24][25] satisfaction with erectile dysfunction treatment appears to vary with the particular treatment, and is typically reported not to be high by the men who sought help. 13,26,27 Miller et al 28 reported that only 10% of men were satisfied with their treatments.…”

Section: Resultsmentioning

confidence: 99%

The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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Prostate cancer affects one in six American men. Erectile and sexual dysfunctions are long-term side effects of prostate cancer treatment. PubMed database was searched for papers on prostate cancer-related sexual recovery for men and couples. The search yielded articles on (1) the treatment of erectile dysfunction, (2) men's psychological and culturally diverse adaptation to the sexual side effects; (3) the impact of prostate cancer on couples' relationships; and (4) interventions to promote sexual function. Erectile dysfunction after prostate cancer treatment has been widely studied.Research on the sexual recovery of men and couples or understanding it in a cultural context is scarce. Greater focus on the impact of sexual sequelae of prostate cancer treatment on men as well as couples in diverse groups is needed. Clinical implications for treating sexual dysfunction and promoting sexual recovery for prostate cancer survivors and their partners are discussed. Recommendations for future research are provided.

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Section: Resultsmentioning

confidence: 99%

The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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“…These findings support the rationale for not applying the constrictive ring when VCD is used for penile rehabilitation. 25 Köhler and coauthors 59 recently performed a pilot study on the early use of the VCD after RP. Twenty-eight men undergoing RP were randomized to early intervention (1 mo after surgery, group 1) or a control group (6 mo after surgery, group 2) using a traditional VCD.…”

Section: Vacuum Constriction Devicesmentioning

confidence: 99%

Penile rehabilitation following treatment for prostate cancer: an analysis of the current state of the art

Al-Shaiji

Domes

Brock

2013

CUAJ

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Despite recent advances in surgical technique using laparoscopic and robotic approaches for the management of early organconfined prostate cancer, most contemporary reports demonstrate significant rates of erectile dysfunction comparable to standard open approaches. Controversy remains related to many of the preand postoperative management strategies, including agents to enhance nerve recovery, erectogenic drugs, antioxidants, vasoactive injectables, vacuum erection devices and nerve grafting procedures. Additionally, the optimal timing of these interventions and their duration, dose, frequency and outcome thresholds remain ill-defined. In our paper, we provide a comprehensive literature review involving both the basic and clinical data surrounding rehabilitative approaches. RésuméMalgré des avancées récentes dans les techniques chirurgicales utilisant la laparoscopie et la robotique pour la prise en charge du cancer de la prostate au stade précoce, la majorité des rapports récents font état de taux significatifs de dysfonction érectile se comparant aux taux associés aux approches ouvertes standard. Bon nombre des stratégies de traitement préopératoires et postopératoires, comme les agents favorisant la récupération nerveuse, les médicaments érec-togènes, les antioxydants, les agents vasoactifs injectables, les pompes péniennes et les greffes de nerfs, font toujours l'objet de controverses. Par ailleurs, le moment optimal pour effectuer ces interventions, la durée de ces dernières, la dose, la fréquence et le seuil d'évaluation des résultats demeurent encore bien mal défi-nis. Cet article de synthèse présente une revue approfondie de la littérature comprenant les données de recherche fondamentale et les données cliniques concernant les approches de réadaptation.going surgery and are thus expressing concern about preservation of erectile function after the procedure, a fact that is true for older men as well. Since Walsh and Donker 4 published their landmark article describing the etiology and prevention of impotence following retropubic RP in 1982, the nerve-sparing technique they described is widely employed and believed to improve postoperative erectile function. 5 Furthermore, there continue to be modifications to the nervesparing technique in an attempt to minimize nerve compromise and improve postoperative potency, as reported by Chuang and coauthors 6 and Masterson and colleagues. 7 However, optimal sexual functioning often requires 18 to 42 months to return, even among men in whom bilateral nerve sparing was performed, with reported recovery rates varying from 16% to 86%. 8,9 Sexual dysfunction has been reported to be an independent determinant of a poorer general health-related quality of life at 2 years after primary treatment for prostate cancer. 10 Recent advances in the understanding of the pathophysiology of postprostatectomy erectile dysfunction (PED) have stimulated great attention directed toward the concept of penile rehabilitation, in which prophylactic measures are instituted to prom...

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“…Köhler and colleagues 29 recently performed a pilot study on the early use of the vacuum constriction devices after RP. Twenty-eight men undergoing RP were randomized to early intervention (1 mo after surgery, group 1) or a control group (6 mo after surgery, group 2) using a traditional vacuum constriction device.…”

Section: Evidence In Support Of Penile Rehabilitationmentioning

confidence: 99%