Erectile dysfunction after radiotherapy for prostate cancer and radiation dose to the penile structures: A critical review

Wielen, Gerard J. van der; Mulhall, John P.; Incrocci, Luca

doi:10.1016/j.radonc.2007.07.018

Cited by 122 publications

(78 citation statements)

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“…Studies as well as review articles on this topic that summarize research to date are available in this and other publications. 1,3,5,6,8,9,[11][12][13][14] In spite of the advances toward the restoration of erectile functioning promoted by nerve-sparing surgery, [15][16][17][18] penile rehabilitation 16,[19][20][21][22] and erectogenic aids, 3,11,[23][24][25] satisfaction with erectile dysfunction treatment appears to vary with the particular treatment, and is typically reported not to be high by the men who sought help. 13,26,27 Miller et al 28 reported that only 10% of men were satisfied with their treatments.…”

Section: Resultsmentioning

confidence: 99%

“…1 Erectile dysfunction is defined as the incapacity to achieve and maintain a penile erection sufficient to attain satisfactory sexual relations. 2 Erectile dysfunction occurs in 25-85% of patients after surgical treatments (that is, prostatectomy), 3,4 in 32-67% after radiation treatment, 5 and in approximately 71% following short-term neoadjuvant hormonal therapy. 6 Erectile dysfunction occurs immediately after a prostatectomy with recovery of erection, often partial, taking up to, approximately, 2 years.…”

Section: Introductionmentioning

confidence: 99%

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The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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Prostate cancer affects one in six American men. Erectile and sexual dysfunctions are long-term side effects of prostate cancer treatment. PubMed database was searched for papers on prostate cancer-related sexual recovery for men and couples. The search yielded articles on (1) the treatment of erectile dysfunction, (2) men's psychological and culturally diverse adaptation to the sexual side effects; (3) the impact of prostate cancer on couples' relationships; and (4) interventions to promote sexual function. Erectile dysfunction after prostate cancer treatment has been widely studied.Research on the sexual recovery of men and couples or understanding it in a cultural context is scarce. Greater focus on the impact of sexual sequelae of prostate cancer treatment on men as well as couples in diverse groups is needed. Clinical implications for treating sexual dysfunction and promoting sexual recovery for prostate cancer survivors and their partners are discussed. Recommendations for future research are provided.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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“…The exact physical structures involved with radiation-associated ED have not been elucidated and continue to be studied. 26 There is some evidence that lower doses of radiation (o60-70 Gy) given in the adjuvant or salvage setting may be less damaging. 26,27 However, as primary radiation therapy contributes to ED, it is possible that initiating radiation before post-prostatectomy healing is complete may compound men's sexual difficulties.…”

Section: Resultsmentioning

confidence: 99%

Counseling patients about sexual health when considering post-prostatectomy radiation treatment

et al. 2009

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Prostate cancer is the second most frequently diagnosed cancer in men in the United States. Many men with clinically localized prostate cancer survive for 15 years or more. Although early detection and successful definitive treatments are increasingly common, a debate regarding how aggressively to treat prostate cancer is ongoing because of the effect of aggressive treatment on the quality of life, including sexual functioning. We examined current research on the effect of post-prostatectomy radiation treatment on sexual functioning, and suggest a way in which patient desired outcomes might be taken into consideration while making decisions with regard to the timing of radiation therapy after prostatectomy.

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“…Another confusing aspect for selecting treatment is the differential impact on erectile function in radical prostatectomy versus radiation therapy. 45 Little data exist on the association between ED and depression, specifically in men with prostate cancer. It is clear from population studies conducted in other settings that there is a relationship between these two variables.…”

Section: Psychosexual Issues In Prostate Cancermentioning

confidence: 99%

Psychological aspects of prostate cancer: a clinical review

Sousa

Sonavane

Mehta

2012

Prostate Cancer Prostatic Dis

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Prostate cancer is the most common non-skin cancer in men. It is fraught with both physical and psychological symptomatology. Depression, anxiety, stress, fatigue, pain and psychosocial factors all affect the patient with prostate cancer. Impotence, erectile dysfunction, sexual issues and incontinence in these patients complicate matters further. Anxiety may exist both before testing and while awaiting test results. Confusion over choosing from various interventions often adds to anxiety and depression in these patients. Various demographic factors and the developmental stage of the couple affect these psychological symptoms. The caregiver may undergo significant psychological turmoil while caring for a patient diagnosed with prostate cancer, which is addressed. The role of nurses in the management of prostate cancer is discussed. The present review looks at psychological issues in patients with prostate cancer from a clinical perspective, with the aim of highlighting these issues for the clinical urologist dealing with these patients. It also explores the consultation --liaison relationship between psychiatrists, psychologists and urologists as a team for the multimodal management of prostate cancer.

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Erectile dysfunction after radiotherapy for prostate cancer and radiation dose to the penile structures: A critical review

Cited by 122 publications

References 50 publications

The psychosocial aspects of sexual recovery after prostate cancer treatment

The psychosocial aspects of sexual recovery after prostate cancer treatment

Counseling patients about sexual health when considering post-prostatectomy radiation treatment

Psychological aspects of prostate cancer: a clinical review

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