Curr Opin Urol. 1998 Nov;8(6):535-40. doi: 10.1097/00042307-199811000-00010.
Current opinion in urology
C G McMahon
PMID: 17039073 DOI: 10.1097/00042307-199811000-00010
Erectile dysfunction after radical retropubic prostatectomy has a multifactorial aetiology, including both neurogenic and vasculogenic factors. Postoperative potency is improved with preservation of the neurovascular bundles in a nerve-sparing procedure. Preoperative and intraoperative identification and preservation of accessory pudendal arteries may also improve postoperative potency rates. The early institution of treatment with intracavernous alprostadil appears to improve postoperative potency rates. Treatment with newer therapeutic agents, such as Sildenafil and Invicorp, are both efficacious and well tolerated.