Nervenerhaltende radikale Prostatektomie mit niedrig dosiertem Sildenafil

Bannowsky, A.; Schulze, H.; C, van der Horst; Kp, Jünemann

doi:10.1007/s00120-010-2453-y

Cited by 6 publications

(1 citation statement)

References 19 publications

(19 reference statements)

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“…Bei Männern <60 Jahren ist das Zeitintervall im Schnitt durch unterschiedliche biologische Neuroplastizität wesentlich kürzer als bei der Altersgruppe ≥60 Jahren [3,19]. Durch den Einsatz von 5-PDE-H unmittelbar nach nerverhaltender RPE und Katheterentfernung (ein Viertel bis volle therapeutische Dosis) am Abend oder der Einnahme der vollen therapeutischen Dosis bei Bedarf, beginnend innerhalb von 2-3 Monaten postoperativ, kann die Wiederherstellungsrate der spontanen Erektionsfähigkeit um 10-25% gesteigert werden [1,8,12,13,14,17]. Die frühzeiti-ge Nutzung von Schwellkörperautoinjek-tionstechnik (SKAT), Vakuumerektionshilfesystemen (VEHS) oder des medikalen urethralen Systems zur Erektion ("medicated urethral system for erection", MU-SE) erhöhen ebenfalls die Wiederherstellungsrate der spontanen Erektionsfähig-keit [7,10,26].…”

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Beratung zur erektilen Dysfunktion während stationärer Rehabilitation nach radikaler Prostatektomie

Vahlensieck

Sommer

Mathers

et al. 2011

Urologe

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For men erectile function is essential for quality of life. Besides urine incontinence postsurgical erectile dysfunction (ED) following radical prostatectomy (RPE) represents a significant and prevalent problem. One of the first approaches to this condition should be a consultation performed by professionals in a rehabilitation clinic.A total of 149 patients post RPE participated in this prospective study. All patients were questioned about their understanding of postoperative surgical ED after RPE and if affected they were asked about their own psychological burden as well as their knowledge of possible therapy options. The qualities of presurgical patient information as well as the modules of information pertaining to ED during the rehabilitation were evaluated. Of the patients, 53% expressed that they experienced a considerable burden due to postsurgical ED during their follow-up rehabilitation (AR group) and 70% of the patients during oncological rehabilitation treatment (rehab group). Men who were sexually more active prior to surgery suffered more from postsurgical ED than their less active counterparts. A negative correlation between psychological burden and age was found in the AR group, which however was levelled in the rehab group. Particularly in older patients the burden of ED increases with more time elapsing after the operation. The medical information on ED therapy options provided during the inpatient rehabilitation was considered to be essential by 60% of the men in the AR group and 48% of the patients in the rehab group.Therapeutic possibilities for postsurgical ED following RPE cannot always be given to patients in the preoperative phase or during their stay in the hospital. Since however a large majority of men suffer from postoperative ED following RPE a specialized inpatient urological rehabilitation is suited for a comprehensive consultation.

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Beratung zur erektilen Dysfunktion während stationärer Rehabilitation nach radikaler Prostatektomie

Vahlensieck

Sommer

Mathers

et al. 2011

Urologe

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Penile rehabilitation for postprostatectomy erectile dysfunction

Philippou

Jung

Steggall

et al. 2018

Cochrane Database of Systematic Reviews

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Successful Penile Replantation and the Role of Postreplantation Sildenafil Therapy: Report of 2 Cases and Literature Review

Zheng

Xie

et al. 2019

Sexual Medicine

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Penile amputation is a rare clinical emergency necessitating urgent urologic and microsurgical intervention. Microvascular replantation has become a conventional form of management, associated with significantly increased viability of the implanted tissue and a lower rate of complications. However, postreplantation treatment intended to promote early recovery of sexual function has been reported only seldomly. Here we report 2 cases of successful penile replantation with postreplantation daily sildenafil therapy. The patients were followed for 24 months and 8 months, respectively, from the date of repair. First intercourse was achieved at 92 days and 105 days, respectively. This is the first report of the use of phosphodiesterase type 5 inhibitors in postoperative care of penile replantation. Fu S, Zheng D, Xie M, et al. Successful Penile Replantation and the Role of Postreplantation Sildenafil Therapy: Report of 2 Cases and Literature Review. Sex Med 2019;7:352–356.

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Nervenerhaltende radikale Prostatektomie mit niedrig dosiertem Sildenafil

Abstract: The measurement of NPTR after nerve-sparing radical prostatectomy showed erectile function as early as the first night after catheter removal. In cases of early penile erections, daily low-dose PDE-5 inhibitors lead to a significant improvement/acceleration of erectile function recovery.

Cited by 6 publications

References 19 publications

Beratung zur erektilen Dysfunktion während stationärer Rehabilitation nach radikaler Prostatektomie

Beratung zur erektilen Dysfunktion während stationärer Rehabilitation nach radikaler Prostatektomie

Penile rehabilitation for postprostatectomy erectile dysfunction

Successful Penile Replantation and the Role of Postreplantation Sildenafil Therapy: Report of 2 Cases and Literature Review

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