Sexual rehabilitation after surgical treatment for localized prostate cancer: nine formal recommendations

20 Mar


Two recent articles by Salonia et al. (from the Fourth International Consultation for Sexual Medicine or ICSM 2015) have provided us with a series of nine recommendations to clinicians regarding sexual rehabilitation after radical prostatectomy for localized prostate cancer.

The nine recommendations are listed below, in order:

  1. Clinicians should discuss the occurrence of post-surgical erectile dysfunction (temporary or permanent) with every candidate for radical prostatectomy.
  2. Validated instruments for assessing erectile function recovery such as the International Index of Erectile Function and Expanded Prostate Cancer Index Composite questionnaires are available to monitor recovery of erectile function after radical prostatectomy
  3. There is insufficient evidence that a specific surgical technique (open vs laparoscopic vs robot-assisted radical prostatectomy) promotes better results in postoperative recovery of erectile function.
  4. Recognized predictors of recovery of erectile function include but are not limited to younger age, preoperative erectile function, and bilateral nerve-sparing surgery.
  5. Patients should be informed about…

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