Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review
Radical prostatectomy remains the treatment of choice for localized prostate cancer in age-appropriate and health-appropriate men. Although cancer control is the most important aspect of a radical prostatectomy, minimization of postoperative morbidity, especially urinary incontinence and erectile dy...
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| Format: | Article |
| Language: | English |
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Wiley
2005-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2005.94 |
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| author | Gerasimos Alivizatos Andreas Skolarikos |
| author_facet | Gerasimos Alivizatos Andreas Skolarikos |
| author_sort | Gerasimos Alivizatos |
| collection | DOAJ |
| description | Radical prostatectomy remains the treatment of choice for localized prostate cancer in age-appropriate and health-appropriate men. Although cancer control is the most important aspect of a radical prostatectomy, minimization of postoperative morbidity, especially urinary incontinence and erectile dysfunction, is becoming a greater concern. We reviewed recent data available on Medline regarding the incidence, pathophysiology, evaluation, and treatment of incontinence and sexual dysfunction after radical prostatectomy. Health-related quality of life issues have been specifically addressed. Although low incidences of incontinence and erectile dysfunction after radical prostatectomy have been reported in the hands of experienced surgeons, the literature review revealed a great variety, with incontinence rates ranging from 0.3–65.6% and potency rates ranging from 11–87%. Several factors contribute to this wide difference, the most important being the application of a meticulous surgical technique. General and cancer-specific health-related quality of life is not being affected after radical prostatectomy. The incidence of incontinence and erectile dysfunction is higher after radical prostatectomy when compared to the incidence observed when other therapies for localized prostate cancer are applied. However, the majority of the patients undergoing radical prostatectomy would vote for the operation again. Today, avoidance of major complications after radical prostatectomy depends mostly on a high-quality surgical technique. When incontinence or erectile dysfunction persists after radical prostatectomy, the majority of the treated patients can be managed effectively by various methods. |
| format | Article |
| id | doaj-art-0889cce5b4f54423956ad4b157d3b2dc |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2005-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-0889cce5b4f54423956ad4b157d3b2dc2025-02-03T06:13:49ZengWileyThe Scientific World Journal1537-744X2005-01-01574775810.1100/tsw.2005.94Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A ReviewGerasimos Alivizatos0Andreas Skolarikos1Athens Medical School, Second Department of Urology, Sismanoglio Hospital, GreeceAthens Medical School, Second Department of Urology, Sismanoglio Hospital, GreeceRadical prostatectomy remains the treatment of choice for localized prostate cancer in age-appropriate and health-appropriate men. Although cancer control is the most important aspect of a radical prostatectomy, minimization of postoperative morbidity, especially urinary incontinence and erectile dysfunction, is becoming a greater concern. We reviewed recent data available on Medline regarding the incidence, pathophysiology, evaluation, and treatment of incontinence and sexual dysfunction after radical prostatectomy. Health-related quality of life issues have been specifically addressed. Although low incidences of incontinence and erectile dysfunction after radical prostatectomy have been reported in the hands of experienced surgeons, the literature review revealed a great variety, with incontinence rates ranging from 0.3–65.6% and potency rates ranging from 11–87%. Several factors contribute to this wide difference, the most important being the application of a meticulous surgical technique. General and cancer-specific health-related quality of life is not being affected after radical prostatectomy. The incidence of incontinence and erectile dysfunction is higher after radical prostatectomy when compared to the incidence observed when other therapies for localized prostate cancer are applied. However, the majority of the patients undergoing radical prostatectomy would vote for the operation again. Today, avoidance of major complications after radical prostatectomy depends mostly on a high-quality surgical technique. When incontinence or erectile dysfunction persists after radical prostatectomy, the majority of the treated patients can be managed effectively by various methods.http://dx.doi.org/10.1100/tsw.2005.94 |
| spellingShingle | Gerasimos Alivizatos Andreas Skolarikos Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review The Scientific World Journal |
| title | Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review |
| title_full | Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review |
| title_fullStr | Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review |
| title_full_unstemmed | Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review |
| title_short | Incontinence and Erectile Dysfunction Following Radical Prostatectomy: A Review |
| title_sort | incontinence and erectile dysfunction following radical prostatectomy a review |
| url | http://dx.doi.org/10.1100/tsw.2005.94 |
| work_keys_str_mv | AT gerasimosalivizatos incontinenceanderectiledysfunctionfollowingradicalprostatectomyareview AT andreasskolarikos incontinenceanderectiledysfunctionfollowingradicalprostatectomyareview |