Evidence map›Paper›PMID 33738297›Full record

SynthesisFrontiers in surgery2021

Penile Rehabilitation and Treatment Options for Erectile Dysfunction Following Radical Prostatectomy and Radiotherapy: A Systematic Review.

Melianthe Nicolai, Ahmet Urkmez, Selcuk Sarikaya, Mikkel Fode, Marco Falcone, Maarten Albersen, Murat Gul, Georgios Hatzichristodoulou, Paolo Capogrosso, Giorgio Ivan Russo

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Qualitative exploration of sexual dysfunction and associated coping strategies among Iranian prostate cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 10 institutions in 6 countries.

Melianthe NicolaiUrology Department, The Netherlands Cancer Institute (NKI), Amsterdam, Netherlands.
Ahmet UrkmezHaydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
Selcuk SarikayaGulhane Training and Research Hospital, Ankara, Turkey.
Mikkel FodeUrology Department, University of Copenhagen, Copenhagen, Denmark.
Marco FalconeUrology Department, Molinette Hospital, Turin, Italy.
Maarten AlbersenUrology Department, University Hospitals Leuven, Leuven, Belgium.
Murat GulSchool of Medicine, Selcuk University, Konya, Turkey.
Georgios HatzichristodoulouMartha-Maria Hospital Nuremberg, Nuremberg, Germany.
Paolo CapogrossoVita-Salute San Raffaele University, Milan, Italy.
Giorgio Ivan RussoUrology Department, University of Catania, Catania, Italy.
Diakonessenhuis hospital · NLFondazione Ricerca Molinette · ITGülhane Askerî Tıp Akademisi · TRHaydarpaşa Numune Eğitim ve Araştırma Hastanesi · TRKU Leuven · BEMartha-Maria Hospital · DESelçuk University · TRUniversity of Catania · ITUniversity of Copenhagen · DKVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After radical prostatectomy (RP) or radiotherapy (RT) for prostate cancer, erectile dysfunction (ED) is the main complication next to urinary incontinence, affecting quality of life. The pathophysiology of ED after these treatments is believed to include neuropraxia causing reduced oxygenation and structural changes of the tissue in the corpora cavernosa. Next to the option of sparing the nerves during RP, research has been focusing on methods for penile rehabilitation after RP and RT, since it occurs often, even after nerve-sparing techniques were used. In animal studies, the use of phosphodiesterase type 5 inhibitors (PDE5i) after cavernous nerve damage is supported, but results in human studies are contradictory. Non-medical treatment options such as vacuum device therapy, hyperbaric oxygen therapy, yoga, aerobic, or pelvic floor training may be helpful, but evidence is scarce. Clear guidelines for penile rehabilitation are not yet available. However, care and support for ED after RP and RT is highly demanded by a large group of patients, so measures have to be taken even though the evidence is not strong yet. In this systematic review, an overview of the literature for penile rehabilitation and treatment options for ED after RP and RT is provided, using only randomized controlled trials (RCT).

Indexed as

erectile dysfunctionintracavernosal injectionpelvic floor therapypenile rehabilitationphosphodiesterase 5 (PDE 5) inhibitorsvacuum devices

Identifiers

PMID33738297
PMCPMC7961076
OpenAlexW3134910874

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.