Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options

Pelvic malignancies, including prostate, rectal, and bladder cancers, are among the most frequent malignancies found in the male population. These issues are most effectively and commonly treated with radiotherapy and/or surgery. However, these treatments can cause collateral damage, resulting in si...

Full description

Bibliographic Details
Main Authors: Jose Bernal, Krishnan Venkatesan, Francisco E. Martins
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/7/2697
_version_ 1797607581314711552
author Jose Bernal
Krishnan Venkatesan
Francisco E. Martins
author_facet Jose Bernal
Krishnan Venkatesan
Francisco E. Martins
author_sort Jose Bernal
collection DOAJ
description Pelvic malignancies, including prostate, rectal, and bladder cancers, are among the most frequent malignancies found in the male population. These issues are most effectively and commonly treated with radiotherapy and/or surgery. However, these treatments can cause collateral damage, resulting in significant impacts on quality of life, with erectile dysfunction being one of the most frequent postoperative complications. Currently, there are several treatment options for erectile dysfunction, including oral phosphodiesterase type 5 inhibitors, vacuum erection devices, intracorporeal injections, and penile prosthesis. The latter has shown to be an effective and safe technique, with results comparable to those obtained by patients without pelvic surgery or radiotherapy. The results of early penile rehabilitation programs are promising and they have been incorporated into a greater proportion of treatment plans more recently, with varying degrees of success. In this narrative review, we summarize the literature on erectile dysfunction after pelvic cancer treatments and its management.
first_indexed 2024-03-11T05:32:56Z
format Article
id doaj.art-89eddd148b874fe7891d2c64f2784e84
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-11T05:32:56Z
publishDate 2023-04-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-89eddd148b874fe7891d2c64f2784e842023-11-17T17:00:42ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01127269710.3390/jcm12072697Erectile Dysfunction in Pelvic Cancer Survivors and Current Management OptionsJose Bernal0Krishnan Venkatesan1Francisco E. Martins2Department of Urology, Hospital Sotero del Rio/Clinica Indisa, Santiago 13123, ChileDepartment of Urology, MedStar Washington Hospital Center, Washington, DC 20010, USADepartment of Urology, School of Medicine, University of Lisbon, Hospital Santa Maria, 1649-035 Lisbon, PortugalPelvic malignancies, including prostate, rectal, and bladder cancers, are among the most frequent malignancies found in the male population. These issues are most effectively and commonly treated with radiotherapy and/or surgery. However, these treatments can cause collateral damage, resulting in significant impacts on quality of life, with erectile dysfunction being one of the most frequent postoperative complications. Currently, there are several treatment options for erectile dysfunction, including oral phosphodiesterase type 5 inhibitors, vacuum erection devices, intracorporeal injections, and penile prosthesis. The latter has shown to be an effective and safe technique, with results comparable to those obtained by patients without pelvic surgery or radiotherapy. The results of early penile rehabilitation programs are promising and they have been incorporated into a greater proportion of treatment plans more recently, with varying degrees of success. In this narrative review, we summarize the literature on erectile dysfunction after pelvic cancer treatments and its management.https://www.mdpi.com/2077-0383/12/7/2697erectile dysfunctionpelvic surgeryradical pelvic surgerypenile rehabilitationprostate cancerbladder cancer
spellingShingle Jose Bernal
Krishnan Venkatesan
Francisco E. Martins
Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options
Journal of Clinical Medicine
erectile dysfunction
pelvic surgery
radical pelvic surgery
penile rehabilitation
prostate cancer
bladder cancer
title Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options
title_full Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options
title_fullStr Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options
title_full_unstemmed Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options
title_short Erectile Dysfunction in Pelvic Cancer Survivors and Current Management Options
title_sort erectile dysfunction in pelvic cancer survivors and current management options
topic erectile dysfunction
pelvic surgery
radical pelvic surgery
penile rehabilitation
prostate cancer
bladder cancer
url https://www.mdpi.com/2077-0383/12/7/2697
work_keys_str_mv AT josebernal erectiledysfunctioninpelviccancersurvivorsandcurrentmanagementoptions
AT krishnanvenkatesan erectiledysfunctioninpelviccancersurvivorsandcurrentmanagementoptions
AT franciscoemartins erectiledysfunctioninpelviccancersurvivorsandcurrentmanagementoptions