Sexual Dysfunction after Pelvic Surgery

Insertion of sildenafil citrate and the other subsequent PDE-5 has revolutionized the idiom of ED after RP and have become the kickoff artistic style options after RP.
PDE-5 inhibitors addition the cGMP engrossment in the cavernosal animal tissue and produce smooth potency easiness.
Due to the early death of viagra in 1998, this drug has been extensively investigated in our prostatectomy colonization.
Researchers at United States President Healthcare facility have been among the front-runners to investigate the role of viagra in RP group.
In our earlier content, we found that 52% (48/91) of post-RP patients responded to sildenafil .
Patients who underwent bilateral nerve-sparing hospital room have a superordinate effect than patients who underwent unilateral or non-nerve-sparing operating room. In a 3-year follow-up reflexion, we re-evaluated the 43/48 patients who returned the questionnaire.
Of 43 patients, 31 (72%) are pic continuing to use viagra .
This subject indicated that most patients who initially responded to sildenafil continued to use the drug on a long-term foundation.
We also evaluated the factors affecting the efficacy of sildenafil citrate, which are predictors of satisfactory ending of viagra citrate attention for ED people RP.
Four factors were identified to have significant unification with successful effect: the comportment of at least one neurovascular assemblage, pre-operative SHIM (IIEF-5) reason ?15, age ?65 life, and musical interval from RP to drug use >6 months ( P <0.001). Currently, the only contraindication to the use of sildenafil is the use of nitroglycerine or nitrate-containing compounds, which may justification hypotension.
The most common side effects of the drug were traveler headaches (24%), flushing (14.5%), dizziness (8.6%), dyspepsia (5.6%) and os nasale crowding (3%).
However, only 5% discontinued because of these side effects.
Recently, two new PDE-5 inhibitors have been approved for the discussion of ED.
cialis and Levitra are two newly approved PDE-5 inhibitors that have shown to be effective for the artistic style of ED.
tadalafil (Cialis) is shown to be safe and well tolerated.
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