Radical prostatectomy (RP) is a common procedure for localized and locally advanced prostate cancer (PCa). Despite advances in the technique with the introduction of robotic surgery, erectile dysfunction (ED) remains a major drawback.
Therefore, a personalized evaluation that considers the patient's expectations and cultural background, baseline erectile function (EF), health status, and tumoral extension is important to optimize outcomes. Since EF has a tremendous impact on the quality of life of the patient and the intimate partner, it is timely to review multidisciplinary approaches to be implemented in the preoperative setting. Here we propose various strategies divided into two main categories, namely, comprehensive preoperative planning and prehabilitation (Figure 1.).
Urologic oncology. 2022 Jan 07 [Epub ahead of print]
Adriana M Pedraza, Krunal Pandav, Mani Menon, Mohit Khera, Vinayak Wagaskar, Zachary Dovey, Nihal Mohamed, Sneha Parekh, Ashutosh K Tewari
Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, NY., Scott Department of Urology, Baylor College of Medicine, Houston, TX., Department of Urology, Icahn School of Medicine at Mount Sinai, New York City, NY. Electronic address: .
PubMed http://www.ncbi.nlm.nih.gov/pubmed/35012821