Factors predicting of risk of erectile dysfunction after prostatectomy
March 27th, 2009 Posted in prostatectomyA recent study has reported data on factors predicting the preservation of erectile function in men undergoing open radical retropubic prostatectomy (RRP).
The study data suggest that several factors existing prior to surgery are potential indicators of the preservatuion of potency erectile function post-surgery. These factors are age, coronary artery disease, diabetes mellitus, quality of preoperative erections, frequency of intercourse, hypertension, neurovascular bundle preservation and the use of phosphodiesterase type 5 inhibitors.
However, on multivariate analysis, only age, no history of diabetes mellitus, and neurovascular bundle preservation were independent predictors of potency post-surgery. The authors suggest that these parameters should be considered when counseling surgical candidates so that erectile function expectations are realistic.