Department of Psychosocial Oncology, Tom Baker Cancer Centre, 2202 2nd Street SW, Calgary, AB T2S 3C1, Canada.
Department of Urologic Sciences, University of British Columbia, Gordon and Leslie Diamond Health Care Centre, Level 6, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada.
Nat Rev Urol. 2015 Mar;12(3):167-76. doi: 10.1038/nrurol.2015.29. Epub 2015 Mar 10.
Many therapies for erectile dysfunction (ED) after prostate cancer treatment improve erectile firmness, yet, most couples stop using aids within 1-2 years. Patients and partners who expect immediate and complete success with their first ED treatment can be demoralized when they experience treatment failure, which contributes to reticence to explore other ED aids. Comprehensive patient education should improve sustainability and satisfaction with ED treatments. Pre-emptive and realistic information should be provided to couples about the probability of recovering natural erections. Beginning intervention early and using a couple-based approach is ideal. Recommendations are provided about the timing of ED treatment, the order of aid introduction, and combination therapies. Renegotiation of sexual activity is an essential part of sexual adaptation. From the outset of therapy, couples should be encouraged to broaden their sexual repertoire, incorporate erection-independent sexual activities, and continue to be sexual despite ED and reduced libido.
许多前列腺癌治疗后勃起功能障碍 (ED) 的治疗方法可改善勃起硬度，但大多数夫妇在 1-2 年内停止使用辅助器具。当患者及其伴侣首次 ED 治疗失败时，他们可能会感到沮丧，因为他们期望立即和完全成功，这导致他们不愿意探索其他 ED 辅助器具。全面的患者教育可以提高 ED 治疗的可持续性和满意度。应该向夫妇提供关于恢复自然勃起可能性的先发制人和现实信息。尽早进行干预并采用夫妻为基础的方法是理想的。关于 ED 治疗的时机、辅助器具引入的顺序和联合治疗提供了建议。重新协商性活动是性适应的重要组成部分。从治疗开始，就应鼓励夫妇扩大他们的性技能，包括与勃起无关的性活动，并继续进行性活动，尽管存在 ED 和性欲降低。
