CUA 2019 consensus algorithm for erectile rehabilitation following prostate cancer treatment Flashcards
Ed rates are found to be …..higher in men with prostate cancer than their similar aged peers.
10-15 folds
Patients are …….. about the likelihood that they will be in the minority of patients who do not experience ED and about the ease with which they will adapt to use of pro-erectile therapies.
overly optimistic
While the best time to introduce erectile rehabilitation remains unclear, pre-PCa treatment psychoeducation on sexual dysfunction and available ED therapies is………
a necessity
Post-PCa treatment ED recovery typically occurs over a minimum of…..
two (or more) years.
The uptake and adherence to pro-erectile therapies is generally …..
poor.
Maintaining regular sexual activity (penetrative or non-penetrative) during the course of erectile recovery is …..
advantageous for individual’s and couple’s well-being.
Describe the CUA penile rehab algorithm
It is shown in the picture. IPP is not shown but is an option of maximum invasiveness if there is no recovery of erectile function
What is the timeline of ED recovery after RP and how do you treat these patients from pre-op to 24 months after?
Look at the table
Describe the timeline of ED and quality of erections fro preopto 24 months post RP
6 weeks : lack of natural erections
10 weeks: lack of natural erections
4 months: some early recovery in <10% of pts
6 months: some early recovery of mild to moderate tmescence in <10%
12 months: 40% recovery enough for penetration
18 months: 40% recover enough for penetration
24 months: 50% recover erection hard enough for penetration
What has the most influence on erectile recovery?
Baseline erectile function
The most common reason for discontinuation of PDE5i is
……….
lack of treatment efficacy (e.g., hardness of erection
which proerectile therapy promote sexual desire/ interest?
None
