Erectile dysfunction after radical prostatectomy: prevalence, medical treatments, and psychosocial interventions.
Erectile dysfunction after radical prostatectomy: prevalence, medical treatments, and psychosocial interventions.
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DOI：
10.1097/spc.0000000000000195
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发表时间：
2016-03
影响因子：
2.1
通讯作者：
Nelson CJ
中科院分区：
文献类型：
--
作者：
Emanu JC;Avildsen IK;Nelson CJ
本文就前列腺癌根治性切除术后勃起功能障碍（艾德）进行综述。它将重点关注艾德的患病率和目前的治疗方法以及艾德的情绪影响和目前旨在帮助患者科普这种副作用的心理社会干预措施。尽管RP后艾德的患病率存在很大差异，但最近的几项研究引用的患病率高达85%。“阴茎康复”的概念现在是RP后治疗艾德的实践标准。然而，许多男性避免寻求帮助或利用艾德治疗。这种回避与许多患有艾德的男性和他们的伴侣所经历的羞愧、沮丧和痛苦有关。最近的心理社会干预措施已经开发，以促进治疗的使用，并帮助男性科普ED。这些干预措施已经显示出初步的承诺，但是，需要继续干预发展，以减少痛苦和改善长期勃起功能（EF）的结果。艾德是前列腺癌手术后的重要问题。虽然有有效的医疗手段，但心理社会干预措施的发展应继续发展，以最大限度地提高我们对男子及其伴侣的援助。
This review will discuss erectile dysfunction (ED) in prostate cancer patients following radical prostatectomy (RP). It will focus on the prevalence and current treatments for ED as well as the emotional impact of ED and the current psychosocial interventions designed to help patients cope with this side effect. While there is a large discrepancy in prevalence rates of ED after RP, several recent studies have cited rates as high as 85%. The concept of “penile rehabilitation” is now the standard of practice to treat ED following RP. However, many men avoid seeking help or utilizing ED treatments. This avoidance is related to the shame, frustration, and distress many men with ED and their partners experience. Recent psychosocial interventions have been developed to facilitate the use of treatments and help men cope with ED. These interventions have shown initial promise, however, continued intervention development is needed to reduce distress and improve long-term erectile function (EF) outcomes. ED is a significant problem following prostate cancer surgery. While there are effective medical treatments, the development of psychosocial interventions should continue to evolve to maximize the assistance we can give to men and their partners.