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Journal articles on the topic 'Penile rehabilitation'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Katz, Anne. "Penile Rehabilitation." AJN, American Journal of Nursing 109, no. 9 (September 2009): 71–72. http://dx.doi.org/10.1097/01.naj.0000360317.61997.1e.

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2

Bella, Anthony J. "Penile Rehabilitation." Journal of Sexual Medicine 8, no. 8 (August 2011): 2391–92. http://dx.doi.org/10.1111/j.1743-6109.2011.02402.x.

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3

Kent, David, and Run Wang. "Pharmacologic penile rehabilitation." Current Sexual Health Reports 3, no. 4 (December 2006): 141–44. http://dx.doi.org/10.1007/s11930-006-0002-x.

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4

Facio, Fernando, and Arthur L. Burnett. "Penile Rehabilitation and Neuromodulation." Scientific World JOURNAL 9 (2009): 652–64. http://dx.doi.org/10.1100/tsw.2009.86.

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Erectile dysfunction (ED) following treatment for clinically localized prostate cancer, particularly radical prostatectomy (RP), is a major quality of life issue that remains unsatisfactorily addressed. With the introduction and use of cavernous nerve–sparing procedures over the past 25 years, many men recover erections postoperatively that enable sexual intercourse unlike in the prior surgical era, when permanent ED postoperatively was certain. Despite this advance, 26–100% of these patients may never recover normal erectile function (EF). Recent advances in the understanding of ED after RP have stimulated great attention to develop penile rehabilitation programs and neuromodulation. The purpose of penile rehabilitation is to prevent adverse corpus cavernosal tissue structural alterations and thereby maximize the chances of recovering functional erections. Rehabilitation programs are common in clinical practice, but there is no definitive evidence to support their efficacy. Neuromodulation represents another strategy for promoting erection recovery postoperatively. This therapy involves the application of neuroprotective interventions, conceivably targeting biological elements involved in the erection response that are affected by neuropathic injury. Well-conducted, controlled trials with adequate follow-up are required in order to determine the erection preservative benefits of these therapeutic strategies. The purpose of this essay is to describe the mechanisms related to post-RP ED, assess the need for penile rehabilitation and neuromodulation following surgery, and analyze the basic science and clinical trial evidence associated with these applications for preserving EF following prostate cancer treatment.
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5

Aoun, Fouad, Alexandre Peltier, and Roland van Velthoven. "Penile Rehabilitation after Pelvic Cancer Surgery." Scientific World Journal 2015 (2015): 1–11. http://dx.doi.org/10.1155/2015/876046.

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Erectile dysfunction is the most common complication after pelvic radical surgery. Rehabilitation programs are increasingly being used in clinical practice but there is no high level of evidence supporting its efficacy. The principle of early penile rehabilitation stems from animal studies showing early histological and molecular changes associated with penile corporal hypoxia after cavernous nerve injury. The concept of early penile rehabilitation was developed in late nineties with a subsequent number of clinical studies supporting early pharmacologic penile rehabilitation. These studies included all available phosphodiesterase type 5 inhibitors, intracavernosal injection and intraurethral use of prostaglandin E1 and to lesser extent vacuum erectile devices. However, these studies are of small number, difficult to interpret, and often with no control group. Furthermore, no studies have proven an in vivo derangement of endothelial or smooth muscle cell metabolism secondary to a prolonged flaccid state. The purpose of the present report is a synthetic overview of the literature in order to analyze the concept and the rationale of rehabilitation program of erectile dysfunction following radical pelvic surgery and the evidence of such programs in clinical practice. Emphasis will be placed on penile rehabilitation programs after radical cystoprostatectomy, radical prostatectomy, and rectal cancer treatment. Future perspectives are also analyzed.
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6

Hinh, Peter, and Run Wang. "Overview of Contemporary Penile Rehabilitation Therapies." Advances in Urology 2008 (2008): 1–6. http://dx.doi.org/10.1155/2008/481218.

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Introduction. Post-prostatectomy erectile dysfunction affects a considerable number of men and is a significant quality of life issue. There has been a substantial amount of research on the treatment of post-prostatectomy ED, and now there is a rising interest in the concept of penile rehabilitation. The goal of penile rehabilitation is to moderate the destructive processes that occur after prostatectomy in order to preserve erectile function, either through spontaneous or assisted means.Methods. We reviewed published data and experiences of post-prostatectomy penile rehabilitation using regimented interventions of phosphodiesterase inhibitors, vacuum erectile device, and intracavernosal agents, and we present and analyze the research conducted.Results. These studies show improved objective and subjective clinical outcomes in regards to physical parameters, sexual satisfaction, and rates of spontaneous erections.Conclusion. These studies are often limited by small size, study period, and study design. There continues to be a need for large, randomized, placebo controlled trials with adequate followup to fully evaluate the efficacy and cost-effectiveness of the various proposed penile rehabilitation regiments before a clear standard can be established.
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7

Bezrukov, E. А., E. S. Sirota, R. B. Sukhanov, G. A. Martirosyan, and A. A. Muradyan. "Penile rehabilitation after radical prostatectomy." Urology and Andrology 6, no. 2 (2018): 18–27. http://dx.doi.org/10.20953/2307-6631-2018-2-18-27.

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8

Cohen, David, and Sidney Glina. "Penile Rehabilitation After Radical Prostatectomy." Current Drug Targets 16, no. 5 (May 4, 2015): 451–58. http://dx.doi.org/10.2174/1389450116666150202153832.

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9

Hedges, Jason C., and Eric Laborde. "Penile Rehabilitation After Radical Prostatectomy." Journal of Urology 187, no. 1 (January 2012): 15–17. http://dx.doi.org/10.1016/j.juro.2011.10.049.

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10

Liu, Shih-Ping. "Penile Rehabilitation Following Radical Prostatectomy." Urological Science 21, no. 1 (March 2010): 19–22. http://dx.doi.org/10.1016/s1879-5226(10)60004-8.

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11

Kim, Khae Hawn. "Penile rehabilitation and cancer spread." Journal of Exercise Rehabilitation 11, no. 6 (December 29, 2015): 287–88. http://dx.doi.org/10.12965/jer.150267.

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12

Mulhall, John P. "Penile rehabilitation following radical prostatectomy." Current Opinion in Urology 18, no. 6 (November 2008): 613–20. http://dx.doi.org/10.1097/mou.0b013e3283136462.

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13

Kacker, Ravi, and Michael P. O'Leary. "Penile rehabilitation after radical prostatectomy." Trends in Urology & Men's Health 4, no. 5 (September 2013): 12–16. http://dx.doi.org/10.1002/tre.351.

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14

Briganti, Alberto, and Francesco Montorsi. "Penile rehabilitation after radical prostatectomy." Nature Clinical Practice Urology 3, no. 8 (August 2006): 400–401. http://dx.doi.org/10.1038/ncpuro0555.

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15

Gabrielsen, J. Scott. "Penile Rehabilitation: the “Up”-date." Current Sexual Health Reports 10, no. 4 (October 8, 2018): 287–92. http://dx.doi.org/10.1007/s11930-018-0174-1.

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16

Brewer, M. Eric, and Edward D. Kim. "Penile Rehabilitation Therapy with PDE-V Inhibitors Following Radical Prostatectomy: Proceed with Caution." Advances in Urology 2009 (2009): 1–4. http://dx.doi.org/10.1155/2009/852437.

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Penile rehabilitation therapy following radical prostatectomy is a much debated topic. Erectile dysfunction is still a significant contributor to postoperative morbidity following radical prostatectomy, despite meticulous nerve-sparing technique. Secondary smooth muscle changes in the penis have been identified as the underlying causes of penile atrophy, veno-occlusive dysfunction, and fibrosis. Initial observations that intracavernous injection therapies used on a regular basis postoperatively resulted in improvements in the return of spontaneous erectile function led to the development of penile rehabilitation protocols. Chronic dosing of PDE-V inhibitors is now commonly used by urologists after radical prostatectomy. Despite the current enthusiasm of penile rehabilitation therapy, current scientific evidence with clinical trials is still limited.
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17

Pace, Gianna, Alessandro Del Rosso, and Carlo Vicentini. "Penile rehabilitation therapy following radical prostatectomy." Disability and Rehabilitation 32, no. 14 (January 2010): 1204–8. http://dx.doi.org/10.3109/09638280903511594.

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18

Wang, Run, Haocheng Lin, and Grace Wang. "Vacuum erectile device for penile rehabilitation." Journal of Integrative Nephrology and Andrology 1, no. 1 (2014): 4. http://dx.doi.org/10.4103/2225-1243.137541.

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19

Segal, Robert L., Trinity J. Bivalacqua, and Arthur L. Burnett. "Current penile-rehabilitation strategies: Clinical evidence." Arab Journal of Urology 11, no. 3 (September 2013): 230–36. http://dx.doi.org/10.1016/j.aju.2013.03.005.

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20

Heß, Jochen. "Penile Rehabilitation nach nervsparender radikaler Prostatektomie." Der Urologe 60, no. 9 (June 4, 2021): 1199–201. http://dx.doi.org/10.1007/s00120-021-01554-0.

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21

Blecher, Gideon, Khaled Almekaty, Odunayo Kalejaiye, and Suks Minhas. "Does penile rehabilitation have a role in the treatment of erectile dysfunction following radical prostatectomy?" F1000Research 6 (October 31, 2017): 1923. http://dx.doi.org/10.12688/f1000research.12066.1.

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In men undergoing radical treatment for prostate cancer, erectile function is one of the most important health-related quality-of-life outcomes influencing patient choice in treatment. Penile rehabilitation has emerged as a therapeutic measure to prevent erectile dysfunction and expedite return of erectile function after radical prostatectomy. Penile rehabilitation involves a program designed to increase the likelihood of return to baseline-level erectile function, as opposed to treatment, which implies the therapeutic treatment of symptoms, a key component of post–radical prostatectomy management. Several pathological theories form the basis for rehabilitation, and a plethora of treatments are currently in widespread use. However, whilst there is some evidence supporting the concept of penile rehabilitation from animal studies, randomised controlled trials are contradictory in outcomes. Similarly, urological guidelines are conflicted in terms of recommendations. Furthermore, it is clear that in spite of the lack of evidence for the role of penile rehabilitation, many urologists continue to employ some form of rehabilitation in their patients after radical prostatectomy. This is a significant burden to health resources in public-funded health economies, and no effective cost-benefit analysis has been undertaken to support this practice. Thus, further research is warranted to provide both scientific and clinical evidence for this contemporary practice and the development of preventative strategies in treating erectile dysfunction after radical prostatectomy.
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22

Clavell-Hernandez, Jonathan, Bahadir Ermec, Ates Kadioglu, and Run Wang. "Perplexity of penile rehabilitation following radical prostatectomy." Türk Üroloji Dergisi/Turkish Journal of Urology 45, no. 2 (February 7, 2019): 77–82. http://dx.doi.org/10.5152/tud.2019.18488.

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23

Shindel, A. "Penile Rehabilitation Following Radical Prostatectomy: Predicting Success." Yearbook of Urology 2010 (January 2010): 147–49. http://dx.doi.org/10.1016/s0084-4071(10)79415-x.

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24

Müller, Alexander, Marilyn Parker, Bedford W. Waters, Robert C. Flanigan, and John P. Mulhall. "Penile Rehabilitation Following Radical Prostatectomy: Predicting Success." Journal of Sexual Medicine 6, no. 10 (October 2009): 2806–12. http://dx.doi.org/10.1111/j.1743-6109.2009.01401.x.

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25

Chung, Eric, and Gerald B. Brock. "Delayed Penile Rehabilitation Post Radical Prostatectomy (CME)." Journal of Sexual Medicine 7, no. 10 (October 2010): 3233–36. http://dx.doi.org/10.1111/j.1743-6109.2010.02022.x.

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26

Qin, Feng, Shuzhen Wang, Jinhong Li, Changjing Wu, and Jiuhong Yuan. "The Early Use of Vacuum Therapy for Penile Rehabilitation After Radical Prostatectomy: Systematic Review and Meta-Analysis." American Journal of Men's Health 12, no. 6 (September 5, 2018): 2136–43. http://dx.doi.org/10.1177/1557988318797409.

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Vacuum therapy has been widely used for penile rehabilitation after radical prostatectomy (RP), but its efficacy and safety are unclear. The study was to evaluate the efficacy and safety of the early use of vacuum therapy for post-RP men. Randomized clinical trials were selected according to predefined inclusion and exclusion criteria. RevMan 5.3 software was used for meta-analyses. In total, six randomized controlled trials were included with a total of 273 post-RP patients. The meta-analysis revealed that the early use of vacuum therapy could significantly improve the five-item International Index of Erectile Function and penile shrinkage in post-RP patients. Few adverse events were reported across the included studies. This review suggests that the early use of vacuum therapy appears to have excellent therapeutic effect on post-RP patients and no serious side effects were identified. Due to overall limited quality of the included studies, the therapeutic benefit of vacuum therapy in penile rehabilitation needs be substantiated to a limited degree in the future. Better methodological, large controlled trials are expected to verify the therapeutic effect of vacuum therapy in penile rehabilitation.
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27

Henry, Gerard D., Rafael Carrion, Caroline Jennermann, and R. u. n. Wang. "Prospective Evaluation of Postoperative Penile Rehabilitation: Penile Length/Girth Maintenance 1 Year Following Coloplast Titan Inflatable Penile Prosthesis." Journal of Sexual Medicine 12, no. 5 (May 2015): 1298–304. http://dx.doi.org/10.1111/jsm.12833.

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28

Clavell-Hernández, Jonathan, and Run Wang. "The controversy surrounding penile rehabilitation after radical prostatectomy." Translational Andrology and Urology 6, no. 1 (February 2017): 2–11. http://dx.doi.org/10.21037/tau.2016.08.14.

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29

Popov, S. V., I. N. Orlov, A. M. Gulko, P. V. Vyazovtsev, T. M. Topuzov, A. V. Semenyuk, M. L. Gorelik, E. A. Bykovskaya, and M. A. Perfiliev. "Modern approaches to penile rehabilitation after radical prostatectomy." Experimental and Сlinical Urology 12, no. 3 (September 29, 2020): 88–94. http://dx.doi.org/10.29188/2222-8543-2020-12-3-88-94.

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30

Garcia, Francisco Javier, and Gerald Brock. "Current state of penile rehabilitation after radical prostatectomy." Current Opinion in Urology 20, no. 3 (May 2010): 234–40. http://dx.doi.org/10.1097/mou.0b013e3283383b02.

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31

Kim, Jae Heon, and Seung Wook Lee. "Current status of penile rehabilitation after radical prostatectomy." Korean Journal of Urology 56, no. 2 (2015): 99. http://dx.doi.org/10.4111/kju.2015.56.2.99.

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32

Wright, Christopher, Joseph Sujka, and David Shin. "Current State of Penile Rehabilitation After Robotic Prostatectomy." Current Sexual Health Reports 6, no. 2 (March 18, 2014): 81–88. http://dx.doi.org/10.1007/s11930-014-0019-5.

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33

Sedigh, O., M. Paradiso, A. Abbona, G. L. Milan, U. Ferrando, and G. Pasquale. "PENILE REHABILITATION AND RECOVERY OF PENILE LENGTH FOLLOWING RADICAL PROSTATECTOMY. 5 YEARS' FOLLOW-UP." European Urology Supplements 5, no. 2 (April 2006): 178. http://dx.doi.org/10.1016/s1569-9056(06)60630-1.

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34

Clavell Hernandez, J., Q. Wu, X. Zhou, J. N. Nguyen, J. W. Davis, and R. Wang. "319 Penile vibratory stimulation in penile rehabilitation after radical prostatectomy: a randomized, controlled trial." Journal of Sexual Medicine 15, no. 7 (July 2018): S253—S254. http://dx.doi.org/10.1016/j.jsxm.2018.04.282.

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35

Raheem, Amr Abdel, and David Ralph. "Penile vibratory stimulation: a novel approach for penile rehabilitation after nerve-sparing radical prostatectomy." BJU International 114, no. 1 (June 25, 2014): 2–3. http://dx.doi.org/10.1111/bju.12526.

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36

Morey, Allen F. "Re: Prospective Evaluation of Postoperative Penile Rehabilitation: Penile Length/Girth Maintenance 1 Year following Coloplast Titan Inflatable Penile Prosthesis." Journal of Urology 195, no. 2 (February 2016): 444. http://dx.doi.org/10.1016/j.juro.2015.10.147.

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37

Vanderhaeghe, Daphné, Maarten Albersen, and Emmanuel Weyne. "Focusing on sexual rehabilitation besides penile rehabilitation following radical prostatectomy is important." International Journal of Impotence Research 33, no. 4 (March 22, 2021): 448–56. http://dx.doi.org/10.1038/s41443-021-00420-z.

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38

Pryor, M., R. Carrion, R. Wang, and G. Henry. "066 Prospective Evaluation of Postoperative Penile Rehabilitation: Penile Morphology and Patient Satisfaction 2 Years Following Coloplast Titan Inflatable Penile Prosthesis." Journal of Sexual Medicine 13, no. 5 (May 2016): S32. http://dx.doi.org/10.1016/j.jsxm.2016.02.069.

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39

Schmid, Florian A., Ulrike Held, Daniel Eberli, Hans-Christoph Pape, and Sascha Halvachizadeh. "Erectile dysfunction and penile rehabilitation after pelvic fracture: a systematic review and meta-analysis." BMJ Open 11, no. 5 (May 2021): e045117. http://dx.doi.org/10.1136/bmjopen-2020-045117.

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ObjectiveTo investigate the rate of erectile dysfunction (ED) after pelvic ring fracture (PRF).DesignSystematic review and meta-analysis.MethodsA systematic literature search of the Cochrane, EMBASE, MEDLINE, Scopus and Web of Science Library databases was conducted in January 2020. Included were original studies performed on humans assessing ED after PRF according to the 5-item International Index of Erectile Function (IIEF-5) questionnaire and fracture classification following Young and Burgess, Tile or Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association. Furthermore, interventional cohort studies assessing the effect of penile rehabilitation therapy with phosphodiesterase-5-inhibitors (PDE-5-I) on IIEF-5 scores compared before and after treatment were included. Results were presented as forest plots of proportions of patients with ED after PRF or mean changes on IIEF-5 questionnaires before and after penile rehabilitation. Studies not included in the quantitative analysis were narratively summarised. Risk of bias assessment was conducted using the revised tool for the Quality Assessment on Diagnostic Accuracy Studies.ResultsThe systematic literature search retrieved 617 articles. Seven articles were included in the qualitative analysis and the meta-analysis. Pooled proportions revealed 37% of patients with ED after suffering any form of PRF (result on probability scale pr=0.37, 95% CI: 0.26 to 0.50). Patients after 3 months of penile rehabilitation therapy reported a higher IIEF-5 score than before (change score=6.5 points, 95% CI: 2.54 to 10.46, p value=0.0013).ConclusionDespite some heterogeneity and limited high-quality research, this study concludes that patients suffering from any type of PRF have an increased risk of developing ED. Oral intake of PDE-5-I for the purpose of penile rehabilitation therapy increases IIEF-5 scores and may relevantly influence quality-of-life in these patients.PROSPERO registration numberCRD42020169699.
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40

Gorur, Sadik, Ali Helli, and Ahmet Namik Kiper. "Erectil Dysfunction Therapy and Penile Rehabilitation After Radical Prostatectomy." Türk Üroloji Seminerleri/Turkish Urology Seminars 1, no. 4 (August 1, 2010): 75–79. http://dx.doi.org/10.5152/tus.2010.08.

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41

Al Shaiji, Tariq, and Gerald Brock. "Should penile rehabilitation become the norm following radical prostatectomy?" Canadian Urological Association Journal 3, no. 1 (April 25, 2013): 50. http://dx.doi.org/10.5489/cuaj.1017.

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42

Liu, Chunhui, David S. Lopez, Ming Chen, and Run Wang. "Penile Rehabilitation Therapy Following Radical Prostatectomy: A Meta-Analysis." Journal of Sexual Medicine 14, no. 12 (December 2017): 1496–503. http://dx.doi.org/10.1016/j.jsxm.2017.09.020.

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43

Raina, R., G. Pahlajani, A. Agarwal, and C. D. Zippe. "Early penile rehabilitation following radical prostatectomy: Cleveland clinic experience." International Journal of Impotence Research 20, no. 2 (August 9, 2007): 121–26. http://dx.doi.org/10.1038/sj.ijir.3901573.

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44

Yuan, Jiuhong, O. Lenaine Westney, Ke‐He Ruan, and Run Wang. "A New Strategy, SuperEnzyme Gene Therapy in Penile Rehabilitation." Journal of Sexual Medicine 6 (March 2009): 328–33. http://dx.doi.org/10.1111/j.1743-6109.2008.01191.x.

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45

Bullen, Kathryn, Susan Carnes Chichlowska, Rachel Rahman, and David Tod. "The psychology of penile cancer from presentation to rehabilitation." International Journal of Urological Nursing 8, no. 1 (July 15, 2013): 22–29. http://dx.doi.org/10.1111/ijun.12016.

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46

Hamm, Rebecca, Tim R. Terry, and Anthony S. Bates. "Penile rehabilitation after nerve-sparing prostatectomy: Fact or fiction?" Journal of Clinical Urology 10, no. 4 (March 22, 2017): 400–405. http://dx.doi.org/10.1177/2051415817701567.

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A 65-year-old man is seen in the clinic two months after a robot-assisted bilateral nerve-sparing radical prostatectomy. He is completely continent and has been since the catheter was removed. The main reason for his referral is erectile dysfunction. Pre-operatively his SHIM score was 25 (maximum score 25). He currently experiences some thickening with stimulation, and an erection hardness score of 2. He has a pleasurable sensation of orgasm during which he remains dry. His sex drive remains normal. He has a long-standing history of hypertension and raised LDL cholesterol, managed with amlodipine and simvastatin respectively. He has no other overt cardiovascular or ischaemic heart disease, and he is not a diabetic, but has an elevated fasting glucose of 6.0 mmol per litre. He stopped smoking five years ago, is 5 feet 11 inches tall, a weight of 95 kg, has a waist measurement of 44 inches (BMI 29 – upper end of overweight) (range <18.50 underweight; 18.50–24.99 healthy weight; 25.00–29.99 overweight; >30.00 obese). He performs no regular exercise. His wife is 60. He is keen to try to regain his erectile function.
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47

Goonewardene, S. S., R. Persad, and D. Gillatt. "Penile rehabilitation for robotic radical prostatectomy: a new game." Journal of Robotic Surgery 10, no. 4 (December 24, 2015): 379–80. http://dx.doi.org/10.1007/s11701-015-0548-6.

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48

Pryor, MichaelB, Rafael Carrion, Run Wang, and Gerard Henry. "Patient satisfaction and penile morphology changes with postoperative penile rehabilitation 2 years after Coloplast Titan prosthesis." Asian Journal of Andrology 18, no. 5 (2016): 754. http://dx.doi.org/10.4103/1008-682x.163266.

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49

Trama, Francesco, Antonio Ruffo, Ester Illiano, Giuseppe Romeo, Filippo Riccardo, Marco Sarcinella, Felice Crocetto, Elisabetta Costantini, and Fabrizio Iacono. "Use of Li-ESWT, Tadalafil, and a Vacuum Device to Preserve Erectile Function in Subjects Affected by Peyronie’s Disease and Undergoing Grafting Surgery." Uro 1, no. 3 (August 13, 2021): 187–94. http://dx.doi.org/10.3390/uro1030019.

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Background: Peyronie’s disease (PD) is a little-known disease characterized by pain during erections, the presence of penile curvature, and consequent psychological disorders. In addition, concomitant erectile dysfunction may be present. The treatment of PD is adapted to the patient, especially when the penile curvature is >60°; with stabilized pathology, it is preferable to perform penile straightening approaches, such as penile plication and plaque incision, or partial excision and grafting. The most frequent side effect of straightening approaches is the onset of erectile dysfunction due to the formation of venous leakage appearing after the excision of calcific plaque. Materials and methods: All enrolled patients had PD, a curvature >60°, had an IIEF subdomain erectile function score >16, and refused penile prosthesis implantation concurrent with tunica albuginea grafting surgery. Subsequently, 4 weeks after surgery, all patients underwent a rehabilitation protocol that consisted of low-intensity extracorporeal shock wave therapy (Li-ESWT), the administration of 5 mg/daily of tadalafil, and the use of a vacuum device. Results: From January 2014 to March 2016, 15 subjects affected by PD with severe penile curvatures were enrolled in the study. At 6 months after surgery, the IIEF scores for erectile function were not statistically significantly different before and after surgery (p > 0.05); the other items, especially orgasmic function (p = 0.01), sexual desire (p < 0.01), intercourse satisfaction (p = 0.01), and overall satisfaction (p = 0.04), were all statistically significant. The modified EDITS questionnaire reported that 80% of patients were satisfied, that 13.3% were dissatisfied, and that 1 patient (6.6%) was dissatisfied with the surgery. Moreover, there was no statistically significant decrease in the patients’ penile lengths. The aim of this study was to use a rehabilitation protocol consisting of Li-ESWT, the administration of 5 mg/daily, and the use of a vacuum device in order to preserve the erectile function of patients undergoing straightening approaches using surgical grafting. In addition, patient satisfaction following surgery was analyzed.
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50

Kim, Noel N. "Physiology of Penile Trabecular Smooth Muscle." Sexuality and Disability 22, no. 2 (2004): 131–42. http://dx.doi.org/10.1023/b:sedi.0000026753.55468.e8.

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