Prasad Roshan, Wanjari Mayur, Lamture Yeshwant R, Late Sampada, Sharma Ranjana
Department of Internal Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, India.
Department of Research and Development, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, India.
Narra J. 2023 Aug;3(2):e174. doi: 10.52225/narra.v3i2.174. Epub 2023 Jul 25.
Prostate cancer treatment can significantly impact erectile function, and penile rehabilitation has been proposed to improve the impacts. However, the effectiveness of penile rehabilitations after treatment of prostate cancer is scarce. The aim of this systematic review was to evaluate the effectiveness of different interventions of penile rehabilitation program after prostate cancer treatment. We conducted a comprehensive search of electronic databases, PubMed and Google Scholar, to identify randomized controlled trials that evaluated interventions for penile rehabilitation after prostate cancer treatment. Studies that met our inclusion criteria were systematically reviewed, and data were synthesized and analyzed. We identified 11 randomized controlled trials that evaluated different interventions for penile rehabilitation after prostate cancer treatment. The interventions included the use of phosphodiesterase type 5 inhibitors, intracavernous injections, vacuum erection devices, and penile rehabilitation programs. The data suggest that these phosphodiesterase inhibitors, intracavernous injections, vacuum erection devices, and penile rehabilitation programs are promising in improving erectile function after prostate cancer treatment. However, the optimal timing and duration of these interventions remain unclear, and there is a need for further research to determine their long-term effectiveness and safety. Healthcare providers should consider individualized approaches to penile rehabilitation, taking into account patient characteristics and preferences.
前列腺癌治疗会对勃起功能产生重大影响,因此有人提出阴茎康复疗法来改善这种影响。然而,前列腺癌治疗后阴茎康复的有效性研究较少。本系统评价的目的是评估前列腺癌治疗后不同阴茎康复方案干预措施的有效性。我们全面检索了电子数据库(PubMed和谷歌学术),以确定评估前列腺癌治疗后阴茎康复干预措施的随机对照试验。对符合纳入标准的研究进行系统评价,并对数据进行综合分析。我们确定了11项评估前列腺癌治疗后不同阴茎康复干预措施的随机对照试验。这些干预措施包括使用5型磷酸二酯酶抑制剂、海绵体内注射、真空勃起装置和阴茎康复方案。数据表明,这些磷酸二酯酶抑制剂、海绵体内注射、真空勃起装置和阴茎康复方案在改善前列腺癌治疗后的勃起功能方面具有前景。然而,这些干预措施的最佳时机和持续时间仍不明确,需要进一步研究以确定其长期有效性和安全性。医疗服务提供者应考虑采用个体化的阴茎康复方法,同时考虑患者的特征和偏好。