Psychosexual Impairment, Degree of Surgery and Erectile Aids
Adverse effects of prostatectomy on sexual function are a known complication post-surgery, despite nerve sparing  (n = 1201). Fode et al.  demonstrated the impact of penile vibratory stimulation on erectile dysfunction in a well-designed randomised controlled trial [3, 2] (n = 68). (Level 1, recommendation A). The study showed a significant improvement on erectile function with the aid. The findings of the paper are robust however, it does use something that is not used routinely in clinical practice, penile vibratory stimulation.
- 1.Sanda MG, Dunn RL, Michalski J, Sandler HM, Northouse L, Hembroff L, Lin X, Greenfield TK, Litwin MS, Saigal CS, Mahadevan A, Klein E, Kibel A, Pisters LL, Kuban D, Kaplan I, Wood D, Ciezki J, Shah N, Wei JT. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358:1250–61.CrossRefGoogle Scholar
- 3.Fode M, Borre M, Ohl D, Lichtbach J, Sonksen J. Penile vibratory stimulation in the recovery of erectile function and urinary continence after nerve sparing radical prostatectomy: a randomized, controlled trial. J Sex Med. 2014;11:20.Google Scholar
- 5.D’Amico AV, Whittington R, Malkowicz SB, Schultz D, Blank K, Broderick GA, Tomaszewski JE, Renshaw AA, Kaplan I, Beard CJ, Wein A. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA. 1998;280:969–74.CrossRefPubMedPubMedCentralGoogle Scholar
- 7.Schiavina R, Borghesi M, Dababneh H, Pultrone CV, Chessa F, Concetti S, Gentile G, Vagnoni V, Romagnoli D, Della Mora L, Rizzi S, Martorana G, Brunocilla E. Survival, continence and potency (SCP) recovery after radical retropubic prostatectomy: a long-term combined evaluation of surgical outcomes. Eur J Surg Oncol. 2014;40:1716–23.CrossRefGoogle Scholar