Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 21 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

IATROGENIC ERECTILE DYSFUNCTION AFTER PELVIC SURGERY: PROSTATECTOMY, COLONIC AND RECTAL SURGERY
Voichiţa Mogoş, Simona Mogoş
Clinic of Endocrinology
University of Medicine and Pharmacy “Gr.T.Popa” Iassy, Romania
Jurnalul de chirurgie 2011; 7 (3): 351-358
Full text:
Format PDF (Engleză/English)

Abstract:

Radical pelvic surgery: radical prostatectomy, colonic and rectal surgery are iatrogenic causes of erectile dysfunction with major impact on health-related quality of life. The major cause of erectile dysfunction in such surgical procedures is cavernous nerve injury that leads to apoptosis of cavernous smooth muscle, fibrosis and venooclusive disease. After radical nerve-sparing prostatectomy up to 50 % of patients may develop erectile dysfunction and recover rate varies from 16%to 86 % in 6-12 month. The prevalence of erectile dysfunction after  rectal surgery varies largely according to the technique used, nerve dissection, associated irradiation and chemotherapy from 33 % to 95 %. Laparoscopic and robotic-assisted surgery allows a better autonomic nerve preservation and a better postoperative sexual function.      Rehabilitation programs in patients with iatrogenic erectile dysfunction must start as soon as possible in order to provide blood supply, good oxygenation and to prevent smooth muscle loss and fibrosis. Best candidates for this program are young patients with normal sexual function before surgery. First line therapy in rehabilitation programs are phosphodiesterase type 5 inhibitors, followed by intracavernosal erectogenic drugs injections and vacuum constriction devices. Rehabilitation programs are efficient in 14%-81% of patients with bilateral nerve-sparing prostatectomy and in 43%-93% of patients following robotic-assisted  laparoscopic surgery.

KEY WORDS: RADICAL PROSTATECTOMY, PROCTOCOLECTOMY, ERECTILE DYSFUNCTION, REHABILITATION IN IATROGENIC ERECTILE DYSFUNCTION

Correspondence to: Voichiţa Mogoş, MD, PhD, Professor of Endocrinology, Clinic of Endocrinology, „St. Spiridon” Hospital Iaşi, Independenţei str. No. 1, 700111, Iaşi, Romania



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.