Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program?
The management of sexual complications after treatment of localized prostate cancer, such as erectile dysfunction, changes in the length of the penis, pain during sexual intercourse, and lack of orgasm, is still an unsolved problem with an important impact on patients’ quality of life. In this revie...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-02-01
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| Series: | Uro |
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| Online Access: | https://www.mdpi.com/2673-4397/3/1/9 |
| _version_ | 1827747395574693888 |
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| author | Roberto Castellucci Piergustavo De Francesco Antonio De Palma Davide Ciavarella Simone Ferretti Michele Marchioni Luigi Schips |
| author_facet | Roberto Castellucci Piergustavo De Francesco Antonio De Palma Davide Ciavarella Simone Ferretti Michele Marchioni Luigi Schips |
| author_sort | Roberto Castellucci |
| collection | DOAJ |
| description | The management of sexual complications after treatment of localized prostate cancer, such as erectile dysfunction, changes in the length of the penis, pain during sexual intercourse, and lack of orgasm, is still an unsolved problem with an important impact on patients’ quality of life. In this review, we summarize the current scientific literature about the rehabilitation of erectile dysfunction after prostate cancer treatment. The therapy for penile rehabilitation includes different types of treatments: the combination of phosphodiesterase type 5 inhibitors (PDE5-I) and the vacuum erectile device (VED) are considered first-line treatment options. When therapy begins, the duration of treatment, the dosage and the drug used all play very important roles in the treatment outcome. Intracavernous injection (ICI) therapy represents the second-line option for patients ineligible for PDE5-I therapy. Technological development has led to the emergence of devices for the stimulation of the penis without the use of drugs, such as penile vibratory stimulation (PVS) for stimulation of ejaculation in spinal cord injury and low-intensity extracorporeal shockwave therapy (LIESWT). The rapid diffusion of the latter, thanks to its easy use, attains good results without side effects. The panorama of penile rehabilitation after PC treatments is vast and many studies are needed, especially on new technologies, to find the best therapeutic regimen possible, personalized to the patient’s characteristics and the type of treatment for PC. |
| first_indexed | 2024-03-11T05:47:50Z |
| format | Article |
| id | doaj.art-21586a3ef5c24814af74441f82e3c5d3 |
| institution | Directory Open Access Journal |
| issn | 2673-4397 |
| language | English |
| last_indexed | 2024-03-11T05:47:50Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Uro |
| spelling | doaj.art-21586a3ef5c24814af74441f82e3c5d32023-11-17T14:16:46ZengMDPI AGUro2673-43972023-02-0131617310.3390/uro3010009Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program?Roberto Castellucci0Piergustavo De Francesco1Antonio De Palma2Davide Ciavarella3Simone Ferretti4Michele Marchioni5Luigi Schips6Department of Urology, ASL Abruzzo 2, 66100 Chieti, ItalyDepartment of Urology, ASL Abruzzo 2, 66100 Chieti, ItalyUnit of Urology, Department of Medical Oral and Biotechnological Sciences, SS. Annunziata Hospital, G. d’Annunzio University, 66100 Chieti, ItalyUnit of Urology, Department of Medical Oral and Biotechnological Sciences, SS. Annunziata Hospital, G. d’Annunzio University, 66100 Chieti, ItalyUnit of Urology, Department of Medical Oral and Biotechnological Sciences, SS. Annunziata Hospital, G. d’Annunzio University, 66100 Chieti, ItalyDepartment of Urology, ASL Abruzzo 2, 66100 Chieti, ItalyDepartment of Urology, ASL Abruzzo 2, 66100 Chieti, ItalyThe management of sexual complications after treatment of localized prostate cancer, such as erectile dysfunction, changes in the length of the penis, pain during sexual intercourse, and lack of orgasm, is still an unsolved problem with an important impact on patients’ quality of life. In this review, we summarize the current scientific literature about the rehabilitation of erectile dysfunction after prostate cancer treatment. The therapy for penile rehabilitation includes different types of treatments: the combination of phosphodiesterase type 5 inhibitors (PDE5-I) and the vacuum erectile device (VED) are considered first-line treatment options. When therapy begins, the duration of treatment, the dosage and the drug used all play very important roles in the treatment outcome. Intracavernous injection (ICI) therapy represents the second-line option for patients ineligible for PDE5-I therapy. Technological development has led to the emergence of devices for the stimulation of the penis without the use of drugs, such as penile vibratory stimulation (PVS) for stimulation of ejaculation in spinal cord injury and low-intensity extracorporeal shockwave therapy (LIESWT). The rapid diffusion of the latter, thanks to its easy use, attains good results without side effects. The panorama of penile rehabilitation after PC treatments is vast and many studies are needed, especially on new technologies, to find the best therapeutic regimen possible, personalized to the patient’s characteristics and the type of treatment for PC.https://www.mdpi.com/2673-4397/3/1/9prostate cancerprostate cancer treatmentradiotherapycastration therapyradical prostatectomyerectile disfunction |
| spellingShingle | Roberto Castellucci Piergustavo De Francesco Antonio De Palma Davide Ciavarella Simone Ferretti Michele Marchioni Luigi Schips Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program? Uro prostate cancer prostate cancer treatment radiotherapy castration therapy radical prostatectomy erectile disfunction |
| title | Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program? |
| title_full | Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program? |
| title_fullStr | Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program? |
| title_full_unstemmed | Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program? |
| title_short | Penile Rehabilitation after Prostate Cancer Treatment: Which Is the Right Program? |
| title_sort | penile rehabilitation after prostate cancer treatment which is the right program |
| topic | prostate cancer prostate cancer treatment radiotherapy castration therapy radical prostatectomy erectile disfunction |
| url | https://www.mdpi.com/2673-4397/3/1/9 |
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