Abstract
The objective of this study was to characterize time-dependent
recovery of erectile function following robot-assisted radical #prostatectomy
(RARP) using the erection hardness score (EHS). This study included 42
patients with localized #prostatecancer (PC) undergoing RARP without
neoadjuvant #hormonaltherapy. The erectile function of each patient was
assessed based on the international index of erectile function-5 (IIEF-
5) and EHS at the baseline and on every visit after RARP. In this
series, potency was defined as the ability to have an erection
sufficient for
intercourse, corresponding to EHS ≥ 3, while patients with EHS ≥ 2 were
regarded as those with #erectilefunction. Of these 42 patients, 15 and
27 underwent bilateral and #unilateralnerve-sparing procedures,
respectively. A proportional increase in the IIEF-5 score according to
EHS was
noted at 12 months after RARP. At 3, 6 and 12 months after RARP, the
recovery rates of erectile function were 22.6, 55.3 and 74.8 %,
respectively,
while those of potency were 11.7, 23.5 and 32.3 %, respectively. The
results we obtained show that the EHS could be successfully used instead
of IIEF-5 to assess post-operative EF recovery. Of the several factors
examined, the age, preoperative outcome of IIEF-5 and the nerve-sparing
procedure were identified as major independent predictors of EF
recovery.
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