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Review
. 2015 Jun;7(3):146-51.
doi: 10.1177/1756287215576626.

Tadalafil therapy for erectile dysfunction following prostatectomy

Affiliations
Review

Tadalafil therapy for erectile dysfunction following prostatectomy

Ateş Kadıoğlu et al. Ther Adv Urol. 2015 Jun.

Abstract

Erectile dysfunction is a major complication affecting the quality of life of patients and partners after radical prostatectomy. Evolving evidence suggests that early penile rehabilitation may provide better erectile function after surgery. Phosphodiesterase type 5 (PDE-5) inhibitors are routinely considered a first-line treatment option in most algorithms for penile rehabilitation owing to their efficacy, ease of use, wide availability and minimal morbidity. Tadalafil is a long-acting, potent PDE-5 inhibitor for erectile dysfunction, with demonstrated effect in animal studies at preserving penile smooth muscle content and prevention of fibrosis of cavernosal tissue. This article evaluates the existing literature on tadalafil and critically analyzes its impact on erectile function following radical prostatectomy.

Keywords: erectile dysfunction; penile rehabilitation; radical prostatectomy; tadalafil.

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Conflict of interest statement

Conflict of interest statement: We certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript. Dr Brock is on the speakers’ bureau and advisory board for Lilly and owns stock in, and is on the speakers’ bureau and advisory board for Pfizer.

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