Page 130 - PCC10

Erectile Dysfunction Post Radical prostatectomy
• 16‐60% experience erectile dysfunction
Nerve damage
Pre‐ operative function
Thermal injuries
Sexual engage ment
Ischemic injuries
Minor crush injuries
Tumor size and growth
IFD‐Grand Solutions 2017‐Sheikh/CVR
Operation procedure
Post RP
Erectile dysfunction
Surgery traction
Age
Current treatments options
• Oral drugs (PDE5‐I)
– Effective 77‐84% in the general population – Successrate14%‐53%,afterRP
• Urethral pellet that delivers prostaglandin E1 (PGE1). MUSE (Medicated system for Erection)
– Success rate is 49‐75%
• Intracavernosal injections
– (with PGE1 alprostadil alone or in combination with papaverine and phentolamine)
– Success rate is 47‐80% IFD‐Grand Solutions 2017‐Sheikh/CVR
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