Abstract | OBJECTIVE: MATERIAL AND METHODS: RESULTS: Ten observational studies with moderate quality and 29 case series with low quality were selected. Observational studies showed lower percentages of erectile dysfunction after intervention in the patients underwent robotic surgery (3-51%). Radical surgery (36-91%) and laparoscopic surgery showed higher values of impotence. In the studies that compared surgery versus radiotherapy, the results were better for radiotherapy (3-72% erectile dysfunction). In the case series, lower percentages of erectile dysfunction were shown in patients underwent to robotic surgery (22%), the following was for laparoscopic surgery (40%) and open radical prostatectomy (41.4%). CONCLUSIONS: This result should be considered with caution because of the low methodological quality of the studies included. However, the different surgical techniques assessed showed similar effects in the two types of studies included and we found that robotic surgery presented lower percentages of sexual impotence.
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Authors | J Ruiz-Aragón, S Márquez-Peláez, L G Luque Romero |
Journal | Actas urologicas espanolas
(Actas Urol Esp)
Vol. 34
Issue 8
Pg. 677-85
(Sep 2010)
ISSN: 1699-7980 [Electronic] Spain |
Vernacular Title | Disfunción eréctil en pacientes intervenidos de cáncer de próstata. Revisión sistemática de la literatura médica. |
PMID | 20800031
(Publication Type: Journal Article, Review, Systematic Review)
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Topics |
- Adenocarcinoma
(surgery)
- Erectile Dysfunction
(epidemiology, etiology)
- Humans
- Male
- Prostatectomy
(adverse effects, methods)
- Prostatic Neoplasms
(surgery)
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