Re: early versus late rehabilitation of erectile function after nerve-sparing radical cystoprostatectomy: a prospective randomized study.

摘要

In a prospective, randomized fashion, the authors assessed the utility of beginning penile rehabilitation in bilateral nerve-sparing cystoprostatectomy patients early in the recovery period or delaying it for 6 mo. The authors examined men without spontaneous erections 8 wk after cystoprostatectomy for localized bladder cancer. After characterization of erectile function with the International Inventory for Erectile Function (IIEF) questionnaire and with penile Doppler ultrasonography, the men were randomized to receive sildenafil citrate (50-100 mg twice per week) starting immediately (8 wk postoperatively) or delaying its initiation until 6 mo postop-eratively.