Surgery and erectile dysfunction

Andrea Gallina, Alberto Briganti, Nazareno Suardi, Umberto Capitanio, Firas Abdollah, Giuseppe Zanni, Andrea Salonia, Patrizio Rigatti, Francesco Montorsi

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Erectile Dysfunction (ED) is one of the most negatively impacting complications associated with pelvic surgery. To date, several technical approaches and therapeutics options are available to limit the impact of pelvic surgical treatment on sexual health. The present article focuses on the short- and long term outcomes of pelvic surgery in terms of erectile dysfunction. METHODS: A Medline search was conducted to identify original and review articles as well as editorials addressing the functional outcome after surgery. Keywords included radical prostatectomy, radical cystectomy, rectal cancer and erectile dysfunction. RESULTS: Erectile function impairment represents the most significant complication of pelvic surgery, negatively impacting the overall sexual health. The rates of Arch. Esp. Urol. 2010; 63 (8): 640-648 ED range from 25-100% of patients, according to the extension of the pelvic dissection, the conservation of the neurovascular structures, as well as in consideration of the pre-operation erectile function of the patients. Recent advances in the knowledge of pelvic anatomy resulted in an increase in the rates of erectile function recovery, especially in patients subjected to radical prostatectomy. The use of pro-erectile drugs significantly improves the outcomes of patients treated with nerve-sparing approach. Radical cystectomy for muscle-invasive bladder cancer is still associated with a high rate of erectile dysfunction. Similarly, pelvic surgery for rectal cancer is often a cause of ED in patients surviving to cancer treatment. Presence of urinary or faecal diversions surely represent a limitation to sexual activity in men. CONCLUSION: Recent advances in surgical technique and in the awareness of pelvic anatomy led to a better comprehension of the structures responsible for erectile function in pelvic surgery. New strategies are necessary in order to further reduce the rates of ED after this frequent surgical approach.

Original languageEnglish
Pages (from-to)640-648
Number of pages9
JournalArchivos Espanoles de Urologia
Volume63
Issue number8
Publication statusPublished - Oct 2010

Fingerprint

Erectile Dysfunction
Cystectomy
Reproductive Health
Rectal Neoplasms
Prostatectomy
Anatomy
Recovery of Function
Prodrugs
Urinary Bladder Neoplasms
Sexual Behavior
Dissection
Therapeutics
Muscles
Neoplasms

Keywords

  • Erectil dysfunction
  • Pelvic surgery

ASJC Scopus subject areas

  • Urology

Cite this

Surgery and erectile dysfunction. / Gallina, Andrea; Briganti, Alberto; Suardi, Nazareno; Capitanio, Umberto; Abdollah, Firas; Zanni, Giuseppe; Salonia, Andrea; Rigatti, Patrizio; Montorsi, Francesco.

In: Archivos Espanoles de Urologia, Vol. 63, No. 8, 10.2010, p. 640-648.

Research output: Contribution to journalArticle

Gallina, A, Briganti, A, Suardi, N, Capitanio, U, Abdollah, F, Zanni, G, Salonia, A, Rigatti, P & Montorsi, F 2010, 'Surgery and erectile dysfunction', Archivos Espanoles de Urologia, vol. 63, no. 8, pp. 640-648.
Gallina A, Briganti A, Suardi N, Capitanio U, Abdollah F, Zanni G et al. Surgery and erectile dysfunction. Archivos Espanoles de Urologia. 2010 Oct;63(8):640-648.
Gallina, Andrea ; Briganti, Alberto ; Suardi, Nazareno ; Capitanio, Umberto ; Abdollah, Firas ; Zanni, Giuseppe ; Salonia, Andrea ; Rigatti, Patrizio ; Montorsi, Francesco. / Surgery and erectile dysfunction. In: Archivos Espanoles de Urologia. 2010 ; Vol. 63, No. 8. pp. 640-648.
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AU - Salonia, Andrea

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