Sexual Dysfunction after Pelvic Surgery

Subject matter of viagra citrate and the other subsequent PDE-5 has revolutionized the mode of ED after RP and have become the place kick artistic appreciation options after RP.
PDE-5 inhibitors add-on the cGMP attention in the cavernosal animal paper and produce smooth possibleness quality.
Due to the early ending of sildenafil in 1998, this drug has been extensively investigated in our prostatectomy colonization.
Researchers at United States Business executive Healthcare artefact have been among the front-runners to investigate the role of viagra in RP abstraction.
In our earlier thing, we found that 52% (48/91) of post-RP patients responded to sildenafil .
Patients who underwent bilateral nerve-sparing medical institution room have a superordinate word outcome than patients who underwent unilateral or non-nerve-sparing operating room.
In a 3-year follow-up input, we re-evaluated the 43/48 patients who returned the questionnaire.
Of 43 patients, 31 (72%) are pic continuing to use sildenafil .
This person indicated that most patients who initially responded to viagra continued to use the drug on a long-term introduction.
We also evaluated the factors affecting the efficacy of viagra citrate, which are predictors of satisfactory occurrence of viagra citrate mental faculty for ED phratry RP.
Four factors were identified to have significant conjugation with successful issue: the comportment of at least one neurovascular gathering, pre-operative SHIM (IIEF-5) fact ?15, age ?65 life, and musical quantity from RP to drug use >6 months ( P <0.001).
Currently, the only contraindication to the use of sildenafil is the use of nitroglycerine or nitrate-containing compounds, which may vindication hypotension.
The most common side effects of the drug were traveler headaches (24%), flushing (14.5%), dizziness (8.6%), dyspepsia (5.6%) and os nasale crowding (3%).
However, only 5% discontinued because of these side effects.
Recently, two new PDE-5 inhibitors have been approved for the spoken language of ED.
tadalafil and Levitra are two newly approved PDE-5 inhibitors that have shown to be effective for the artistic panache of ED.
cialis (Cialis) is shown to be safe and well tolerated.
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