Sexual Rehabilitation After Treatment For Prostate Cancer-Part 2: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015).

Abstract

INTRODUCTION:

Sexual dysfunction is common in patients after radical prostatectomy (RP) for prostate cancer.

AIM:

To provide the International Consultation for Sexual Medicine (ICSM) 2015 recommendations concerning management strategies for post-RP erectile function impairment and to analyze post-RP sexual dysfunction other than erectile dysfunction.

METHODS:

A literature search was performed using Google and PubMed database for English-language original and review articles published up to August 2016.

MAIN OUTCOME MEASURES:

Levels of evidence (LEs) and grades of recommendations (GRs) are provided based on a thorough analysis of the literature and committee consensus.

RESULTS:

Nine recommendations are provided by the ICSM 2015 committee on sexual rehabilitation after RP. Recommendation 6 states that the recovery of postoperative erectile function can take several years (LE = 2, GR = C). Recommendation 7 states there are conflicting data as to whether penile rehabilitation with phosphodiesterase type 5 inhibitors improves recovery of spontaneous erections (LE = 1, GR = A). Recommendation 8 states that the data are inadequate to support any specific regimen as optimal for penile rehabilitation (LE = 3, GR = C). Recommendation 9 states that men undergoing RP (any technique) are at risk of sexual changes other than erectile dysfunction, including decreased libido, changes in orgasm, anejaculation, Peyronie-like disease, and changes in penile size (LE = 2, GR = B).

CONCLUSION:

This article discusses Recommendations 6 to 9 of the ICSM 2015 committee on sexual rehabilitation after RP. Salonia A, Adaikan G, Buvat J, et al. Sexual Rehabilitation After Treatment For Prostate Cancer-Part 2: Recommendations From the Fourth International Consultation for Sexual Medicine (ICSM 2015). J Sex Med 2017;14:297-315.

• Authors: Andrea Salonia, Ganesh Adaikan, Jacques Buvat, Serge Carrier, Amr El-Meliegy, Kostas Hatzimouratidis, Andrew McCullough, Abraham Morgentaler, Luiz Otavio Torres, Mohit Khera
• Journal: The journal of sexual medicine (J Sex Med) Vol. 14 Issue 3 Pg. 297-315 (Mar 2017) ISSN: 1743-6109 [Electronic] Netherlands
• PMID: 28262100 (Publication Type: Journal Article, Practice Guideline)
• Copyright: Copyright © 2017. Published by Elsevier Inc.

Topics

• Aged
• Erectile Dysfunction (prevention & control, rehabilitation)
• Evidence-Based Medicine
• Humans
• International Cooperation
• Male
• Middle Aged
• Penile Erection (physiology)
• Postoperative Complications (prevention & control, rehabilitation)
• Postoperative Period
• Practice Guidelines as Topic
• Prostatectomy (adverse effects, rehabilitation)
• Prostatic Neoplasms (surgery)
• Recovery of Function
• Sexual Behavior