Clavell-Hernandez Jonathan, Ermeç Bahadır, Kadıoğlu Ateş, Wang Run
St Joseph Medical Center, Houston, Texas, USA.
Department of Urology İstinye State Hospital, İstanbul, Turkey.
Turk J Urol. 2019 Jan 22;45(2):77-82. doi: 10.5152/tud.2019.18488. Print 2019 Mar.
Radical prostatectomy has significantly improved prostate cancer survival rates but continues to have a negative impact on the patient's erectile function (EF). In attempts to improve erectile dysfunction (ED), clinicians have incorporated different treatment modalities to restore EF. Penile rehabilitation consists of understanding the mechanisms that affect post-prostatectomy EF and utilizing pharmacologic agents, devices, and interventions to promote the male sexual function. This article aims to summarize the available scientific research involving penile rehabilitation. Even though the current literature lacks to prove its irrefutable effectiveness, penile rehabilitation has a positive impact at the molecular and cellular levels, and it is widely adopted in clinic practices.
根治性前列腺切除术显著提高了前列腺癌的生存率,但对患者的勃起功能(EF)仍有负面影响。为了改善勃起功能障碍(ED),临床医生采用了不同的治疗方式来恢复勃起功能。阴茎康复包括了解影响前列腺切除术后勃起功能的机制,并利用药物、器械和干预措施来促进男性性功能。本文旨在总结有关阴茎康复的现有科学研究。尽管目前的文献缺乏确凿证据证明其绝对有效性,但阴茎康复在分子和细胞水平上有积极影响,且在临床实践中被广泛采用。