TY  - EJOU
AU  - Jamal, Joseph E. 
AU  - Engel, Jason D. 

TI  - Management of post-prostatectomy erectile dysfunction
T2  - Canadian Journal of Urology

PY  - 2011
VL  - 18
IS  - 3
SN  - 1488-5581

AB  - The management of post-prostatectomy erectile function has 
been debated since the nerve sparing radical prostatectomy 
was fi rst introduced. A number of penile rehabilitation 
protocols have been proposed with varying degrees of 
success and patient satisfaction. My management of post-prostatectomy erectile dysfunction has evolved based on an 
honest and critical appraisal of the literature and my own 
experience and research. A review of major studies published 
on the topic of post-prostatectomy penile rehabilitation is 
included here, in addition to a critical evaluation of my 
own clinical practice. After evaluating the effi cacy of 
these various approaches, it is clear to me that a nerve 
sparing procedure is only one of many factors involved 
in recovering erectile function. Moreover, in addition to 
assessing a patient’s goals and their motivation for erectile 
function after prostatectomy, setting appropriate patient 
expectations is paramount to avoiding patient frustration. 
A frank evaluation and discussion with a patient and their 
partner is paramount to managing these expectations. 
A “one size fi ts all” approach is not appropriate. Herein, 
I discuss the evolution of my approach to managing post-prostatectomy erectile dysfunction.
KW  - phosphodiesterase type-5 inhibitor
KW  -  erectile dysfunction
KW  -  radical prostatectomy
KW  -  vacuum erection device
KW  -  rehabilitation

DO  -