- 作者：J. Ruiz-Aragó ; n<sup> ; sup><sup>jesusm.ruiz.ext@juntadeandalucia.essup> ; S. Má ; rquez-Pelá ; ez ; L.G. Luque Romero
- 关键词：Prostatectomí ; a ; Disfunció ; n eré ; ctil ; Cirugí ; a robó ; tica ; Cá ; ncer de pró ; stata
- 刊名：Actas Urol贸gicas Espa帽olas
- 出版年：2010
- 期刊代码：pca37_02104806
- 类别：med
- 出版时间：September 2010
- 卷：34
- 期：8
- 页码：677-685
- 文件大小：219 K
ss="h4">Objective
To assess erectile dysfunction in patients with prostate cancer undergoing surgery by radical prostatectomy, laparoscopic prostatectomy or robotic prostatectomy.
ss="h4">Material and methods
Systematic Review of literature based on a search strategy (2000鈥?0) in MedLine, Embase, Cochrane Library, CRD, ECRI, and Hayes. Mesh terms used were
ss="h4">Results
Ten observational studies with moderate quality and 29 case series with low quality were selected. Observational studies showed lower percentages of erectile dysfunction after intervention in the patients underwent robotic surgery (3鈥?1%). Radical surgery (36鈥?1%) and laparoscopic surgery showed higher values of impotence. In the studies that compared surgery versus radiotherapy, the results were better for radiotherapy (3鈥?2%erectile dysfunction). In the case series, lower percentages of erectile dysfunction were shown in patients underwent to robotic surgery (22%), the following was for laparoscopic surgery (40%) and open radical prostatectomy (41.4%).
ss="h4">Conclusions
This result should be considered with caution because of the low methodological quality of the studies included. However, the different surgical techniques assessed showed similar effects in the two types of studies included and we found that robotic surgery presented lower percentages of sexual impotence.