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Preoperative Assessment and Intervention: Optimizing Outcomes for Early Return of Erectile Function

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Urinary Continence and Sexual Function After Robotic Radical Prostatectomy

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Abstract

Erectile dysfunction (ED) is one of the most common treatment-related side effects following a radical prostatectomy for prostate cancer. ED is defined as the inability to attain and maintain an erection sufficient to permit satisfactory sexual performance. To the authors’ best knowledge, while there have been no published studies evaluating the preoperative optimization of patients to increase in erectile function recovery after radical prostatectomy, there have been numerous studies done to evaluate the interventions in modifiable risk factors to improve erectile function. These studies focus on physical activity, weight loss, dietary modification, intensive lifestyle changes, smoking cessation, alcohol intake, and statin therapy. This chapter aims to review such studies and discuss potential pathways to optimize patients preoperatively for recovery of erectile function after radical prostatectomy.

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Authors and Affiliations

  1. Department of Urology, Tulane University School of Medicine, 1430 Tulane Ave., SL-42, New Orleans, LA, 70112, USA

    Weil R. Lai M.D. & Raju Thomas M.D., F.A.C.S., M.H.A.

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  1. Weil R. Lai M.D.
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  2. Raju Thomas M.D., F.A.C.S., M.H.A.
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Correspondence to Raju Thomas M.D., F.A.C.S., M.H.A. .

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Editors and Affiliations

  1. International Robotic Prostatectomy Institute, Urology Center of Excellence at Jackson South Hospital, Miami, Florida, USA

    Sanjay Razdan

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Lai, W.R., Thomas, R. (2016). Preoperative Assessment and Intervention: Optimizing Outcomes for Early Return of Erectile Function. In: Razdan, S. (eds) Urinary Continence and Sexual Function After Robotic Radical Prostatectomy. Springer, Cham. https://doi.org/10.1007/978-3-319-39448-0_3

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  • DOI: https://doi.org/10.1007/978-3-319-39448-0_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39446-6

  • Online ISBN: 978-3-319-39448-0

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