Friday, November 30, 2018

Application of Erection Hardness Score as a #DiagnosticTool to Assess Erectile Function Recovery after Robot-Assisted Radical #Prostatectomy by Boyan Stoykov in BJSTR

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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