Penile Rehabilitation - New Possibilities For Managing Erectile Dysfunction

Studies reveal that around 30% to 70% of men who experience radical prostatectomy or external beam radiation therapy, and around 50% of men who opt for brachytherapy, will acquire impotence after therapy. Fresh insights into why this occurs have led to a whole new way of treating men who are engrossed in preserving their erectile dysfunction.

The evolution of Penile Rehabilitation

The new remedies are often linked to collectively as penile repair, a concept first introduced by European physicians’ way back in 1997. Since then, penile recovery has constantly evolved and is now being offered at several major teaching hospitals. It is less likely to be offered in the community setting. Although exact regimens vary, penile rehabilitation typically consists of oral or injected medications, alone or in combination with other interventions, to restore and preserve erectile function before any long-term damage occurs.

But this treatment continues to be controversial. Although introductory results look encouraging, only a handful of reliable studies assessing various types of a penile reconstruction or restore have been published — and these have used diverse types of interventions, for varying periods, so it is difficult to differentiate one method with another. Moreover, no agreement yet endures about which method is best for a special patient. Even so, penile reconstruction may be something worth examining your doctor about if you have just been diagnosed with prostate cancer or are currently enduring the operation.

 

New acumens into erectile dysfunction

When erectile function becomes damaged following radical prostatectomy, the problem has traditionally been associated with nerve deterioration. The nerves that trigger erecting may become injured during surgery leading to a problem known as neuropraxia. 

 

Neuropaxia is a short-lived loss of function that apparently should recover in time. The difficulty is that it can take as long as two times for the nerves to improve adequately to permit a man to have a spontaneous erection, and by then other impairment may have occurred.

 

Recent analysis implies that when the penis is flaccid for long periods, they get deprived of a lot of oxygen-rich blood, the low oxygen level induces some muscle cells in the columns of erectile tissue (corpora cavernosa) to lose their elasticity and slowly change into something similar to scar tissue. This scar tissue, further, appears to conflict with the penis’s capability to develop when it’s filled with blood. Imaging studies symbolize that blood may drain away from the penis rather than fill it.

 

Analysis About Infertility Post therapy

 

Less analysis has been done about infertility after radiation therapy, but it seems that the underlying rapids of damaging events are equivalent to what occurs after radical prostatectomy. Radiation destroys the lining of the small blood vessels, but this damage may take months or even years to reveal itself.  To check the secondary damage that may happen if the penis resides flaccid for an extended period, researchers now believe that a better approach is to reconcile soon after treatment to revive erectile function.

 

Prospects after radical prostatectomy

Preliminary investigations show that penile rehabilitation for men who undergo radical prostatectomy is most efficient when it occurs soon after surgery and comprises a combination of therapies.

 

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