McCullough Andrew R
Department of Urology, New York University School of Medicine, New York, NY 10016, USA.
Asian J Androl. 2008 Jan;10(1):61-74. doi: 10.1111/j.1745-7262.2008.00366.x.
The concept of muscle rehabilitation after nerve injury is not a novel idea and is practiced in many branches of medicine, including urology. Bladder rehabilitation after spinal cord injury is universally practiced. The erectile dysfunction (ED) experienced after radical prostatectomy (RP) is increasingly recognized as being primarily neurogenic followed by secondary penile smooth muscle (SM) changes. There is unfortunately no standard approach to penile rehabilitation after RP because controlled prospective human studies are not available. This article reviews the epidemiology, experimental pathophysiological models, rationale for penile rehabilitation, and currently published rehabilitation strategies.
神经损伤后肌肉康复的概念并非新观念，且在包括泌尿外科在内的许多医学分支中都有应用。脊髓损伤后的膀胱康复已被广泛应用。根治性前列腺切除术后出现的勃起功能障碍（ED）越来越被认为主要是神经源性的，其次是继发性阴茎平滑肌（SM）改变。不幸的是，由于缺乏对照的前瞻性人体研究，根治性前列腺切除术后阴茎康复尚无标准方法。本文综述了其流行病学、实验病理生理模型、阴茎康复的理论依据以及目前已发表的康复策略。
