| Summary: | Objective: The aim of this study is to evaluate the therapeutic effects of penile revascularization, applied as a penile rehabilitation method, on erectile function in the treatment of vascular-origin erectile dysfunction that develops after radical prostatectomy.
Materials and Methods: A total of 21 cases who underwent radical prostatectomy due to localized prostate cancer between 2017 and 2024 and were diagnosed with postoperative erectile dysfunction were treated with penile revascularization surgery. All patients had undergone bilateral neurovascular bundle-sparing radical prostatectomy. All patients underwent penile color Doppler ultrasonography, corpus cavernosum electromyography, cavernosometry tests, the International Index of Erectile Function (IIEF) 5-15, and erectile hardness score questionnaires before penile revascularization and at the third, sixth, and twelfth postoperative months,
Results: The average age of the operated patients was found to be 59.05±3.05 years. The preoperative scores of the IIEF-5 and 15 were 8.57±1.16 and 21.33±1.60, respectively. In the postoperative final follow-up, these scores were 14.67±0.69 and 35.43±2.21. On penile color Doppler ultrasonography, the peak systolic velocity, end-diastolic velocity, and resistive index values were 16.68±1.85, 7.23±1.34, and 0.56±0.06, respectively, in the preoperative period. In the postoperative period, these values were 28.79±6.18, 3.76±1.02, and 0.87±0.06, respectively.
Conclusion: Penile revascularization surgery in cases of vascular-origin erectile dysfunction following radical prostatectomy can significantly contribute to the rehabilitation of erectile function by increasing penile blood flow. This procedure should be recommended to patients as an option prior to more invasive interventions, such as penile prosthesis implantation.
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