КОНСЕРВАТИВНЫЕ МЕТОДЫ РЕАБИЛИТАЦИИ БОЛЬНЫХ С ЭРЕКТИЛЬНОЙ ДИСФУНКЦИЕЙ ПОСЛЕ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ
Обзорная статья
Дата публикации: сентября 4, 2023
Ключевые слова
физиотерапия
рак предстательной железы
эректильная дисфункция
рак предстательной железы
эректильная дисфункция
Как цитировать
Мусаев И. Э., Гусакова Е. В., Грушина Т. И., Ткаченко Г. А., Филатова Е. В. КОНСЕРВАТИВНЫЕ МЕТОДЫ РЕАБИЛИТАЦИИ БОЛЬНЫХ С ЭРЕКТИЛЬНОЙ ДИСФУНКЦИЕЙ ПОСЛЕ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ // Кремлевская медицина. Клинический вестник. 2023. Т. № 3. С. 92-95.
Аннотация
Цель. Провести аналитический обзор литературных данных по консервативным методам лечения эректильной дисфункции (ЭД) у больных раком предстательной железы после радикальной простатэктомии. Материалы и методы. В обзор включены данные из электронных баз Scopus, Web of Science, MedLine, Wiley, World Health Organization, The Cochrane Central Register of Controlled Trials, PubMed, elibrary, CyberLeninka, disserCat. Результаты. Представлены многочисленные методы и их сочетание: фармакотерапия, упражнения для укрепления мышц тазового дна, низкоинтенсивная локальная экстракорпоральная ударно-волновая терапия, транскраниальная электростимуляция, ГБО. Заключение. В результате проведенного обзора выявлено, что на сегодняшний день не существует единых подходов к формированию программы реабилитации больных раком предстательной железы с ЭД. Физические методы восстановления широко используются, но не представляется возможным сделать вывод о наиболее эффективном методе лечения из-за большой неоднородности протоколов исследований.Литература
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2. Рамазанов К.К. и др. Сравнительный анализ 10-летних онкологических результатов робот-ассистированной радикальной простатэктомии и радикальной позадилонной простатэктомии. Опыт клиники урологии Московского государственного медико-стоматологического университета им. А.И. Евдокимова // Онкоурология. – 2023. – Т. 19. – № 1. – С. 61–70. [Ramazanov K.K. et al. Comparative analysis of 10-year oncological outcomes of robot-assisted radical prostatectomy and radical retropubic prostatectomy. Experience of the Urology Clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry // Cancer Urology. – 2023. – V. 19. – № 1. – P. 61–70. In Russian].doi: 10.17650/1726-9776-2023-19-1-61-70.
3. Pak S. et al. Changes in health-related quality of life after radical prostatectomy for prostate cancer: A longitudinal cohort study in Korea // Investig Clin Urol. – 2018. – V. 59. – № 5. – Р. 313–20. doi: 10.4111/icu.2018.59.5.313.
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5. Карнаух П.А. и др. Профилактика и лечение эректильной дисфункции у пациентов после радикальной нервносберегающей простатэктомии // Вестник урологии. – 2015. – № 4. – С. 50–64. [Karnaukh P.A. et al. Preventoin and treatment of erectile dysfunction in patients after radical nervesparing prostatectomy // Urology Herald. – 2015. – № 4. – P. 50–64. In Russian]. doi: 10.21886/2308-6424-2015-0-4-50-64.
6. Cao L. et al. Robot-assisted and laparoscopic vs open radical prostatectomy in clinically localized prostate cancer: perioperative, functional, and oncological outcomes. A Systematic review and meta-analysis // Medicine. – 2019. – V. 98. – № 22. – P. 15770. doi: 10.1097/MD.0000000000015770.
7. Ефремов Е.А. Эректильная функция у больных раком предстательной железы // Экспериментальная и клиническая урология. – 2011. – № 2–3. С. 88–90. [Efremov E.A. Erectile function in patients with prostate cancer // Experimental and clinical urology. – 2011. – № 2–3. P. 88–90. In Russian].
8. Goldstein I. Impotence // J. Urol. – 1994. – V. 151. – № 6. – P. 1533–4.
9. Hatzimouratidis K. et al. Pharmacotherapy for erectile dysfunction: recommendations from the Fourth International Consultation for Sexual Medicine (ICSM 2015) // J. Sex. Med. – 2016 – V. 13. – № 4. – P. 465– 488.
10. Liu C. et al. Penile rehabilitation therapy following radical prostatectomy: a meta-analysis // J. Sex. Med. – 2017. – V. 14. – № 12. – P. 1496–1503. doi: 10.1016/j.jsxm.2017.09.020.
11. Adamowicz J. et al. Tissue Engineering and Its Potential to Reduce Prostate Cancer Treatment Sequelae-Narrative Review // Front Surg. – 2021. – V. 8. – P. 644057. doi: 10.3389/fsurg.2021.644057.
12. Chung E. Regenerative technology to restore and preserve erectile function in men following prostate cancer treatment: evidence for penile rehabilitation in the context of prostate cancer survivorship // Ther Adv Urol. – 2021. – V. 13. – P. 17562872211026421. doi: 10.1177/17562872211026421.
13. Chung E. et al. Impact of physical exercise program interventions on erectile function and cardiovascular health in males with prostate cancer // World J Mens Health. – 2022. – V. 40. – № 3. – P. 361–367. doi: 10.5534/wjmh.210032.
14. Fernández R.A. et al. Improvement of continence rate with pelvic floor muscle training post-prostatectomy: A meta-analysis of randomized controlled trials // Urol Int. – 2015. – V. 94. – № 2. – P. 125–132. doi: 10.1159/000368618.
15. Goonewardene S.S. et al. A systematic review of PFE pre-prostatectomy // J Robot Surg. – 2018. – V. 12. – № 3. – P. 397–400. doi: 10.1007/s11701-018-0803-8.
16. Sayilan A.A. et al. The effect of pelvic floor muscle training on incontinence problems after radical prostatectomy // Am J Mens Health. – 2018. – V. 12. – № 4. – P. 1007–1015. doi: 10.1177/1557988318757242.
17. Мянник С.А. Восстановление эректильной функции в программе реабилитации после операций на предстательной железе: автореф. …канд. мед. наук. М. – 2016. – 24 с. [Myannik S.A. Recovery of erectile function in the rehabilitation program after prostate surgery: abstract of PhD Sciences. Moscow. – 2016. – 24 p. In Russian].
18. Иванов С.С. и др. Оценка эффективности тренировок мышц промежности в восстановлении эректильной функции // Экспериментальная и клиническая урология. – 2019. – № 4. – C. 80–85. [Ivanov S.S. et al. The evaluation of effectiveness of perineal muscles training in restoring erectile function // Exp Clin Urol. – 2019. – № 4. – P. 80–85. In Russian]. doi: 10.29188/2222-8543-2019-11-4-80-85.
19. Karlsen R.V. et al. Couple counseling and pelvic floor muscle training for men operated for prostate cancer and for their female partners: results from the randomized procan trial // Sex Med. – 2021. – V. 9. – № 3. – P.100350. doi: 10.1016/j.esxm.2021.100350.
20. Milios J.E. et al. Pelvic floor muscle training and erectile dysfunction in radical prostatectomy: a randomized controlled trial investigating a non-invasive addition to penile rehabilitation // Sex Med. – 2020. – V. 8. – P. 414–421. doi: 10.1016/j.esxm.2020.03.005.
21. De Lira G.H.S. et al. Effects of perioperative pelvic floor muscle training on early recovery of urinary continence and erectile function in men undergoing radical prostatectomy: a randomized clinical trial // Int Braz J Urol. – 2019. – V. 45. – № 6. – P. 1196–1203. doi: 10.1590/S1677-5538.IBJU.2019.0238.
22. Chiles K.A. et al. A double-blind, randomized trial on the efficacy and safety of hyperbaric oxygenation therapy in the preservation of erectile function after radical prostatectomy // J Urol. – 2018. – V. 199. – P. 805–811. doi: 10.1016/j.juro.2017.10.016.
23. Veliev R., Veliev E., Sokolov Y. PD20-12. Hyperbaric oxygenation therapy in sexual recoveryafter radical prostatectomy // J Urol. – 2021. – V. 206. – № 3S. – P. 371–372.
24. Fode M. et al. Penile vibratory stimulation in the recovery of urinary continence and erectile function after nerve-sparing radical prostatectomy: a randomized, controlled trial // BJU Int. – 2014. – V. 114. – № 1. – P. 111–117. doi: 10.1111/bju.12501.
25. Грушина Т.И. и др. Ударно-волновая терапия в онкологии: in vitro, in vivo, реабилитация // Вопросы курортологии, физиотерапии и лечебной физической культуры. – 2022. – Т. 99. – № 3. – C. 58–65. doi: 10.17116/kurort20229903158 [Grushina T.I. et al. Shock wave therapy in oncology: in vitro, in vivo, rehabilitation // Issues of balneology, physiotherapy and therapeutic physical culture. – 2022. – V. 99. – № 3. – P.58–65. In Russian].
26. Sighinolfi M.C. et al. Low-intensity extracorporeal shockwave therapy for the management of postprostatectomy erectile dysfunction: a systematic review of the literature // Eur Urol Open Sci. – 2022. – V. 43. – P. 45–53. doi: 10.1016/j.euros.2022.07.003.
27. Porst H. Review of the current status of low intensity extracorporeal shockwave therapy (Li-ESWT) in erectile dysfunction (ED), peyronie's disease (PD), and sexual rehabilitation after radical prostatectomy with special focus on technical aspects of the different marketed ESWT devices including personal experiences in 350 patients // Sex Med Rev. – 2021. – V. 9. – № 1. – P. 93–122. doi: 10.1016/j.sxmr.2020.01.006.
28. Sarchi L. et al. Psychological distress among patients awaiting histopathologic results after prostate biopsy: An unaddressed concern // Urol J. – 2022. – V. 89. – № 3. – P. 382–387. doi: 10.1177/03915603211049889.
29. Pompe R.S. et al. The impact of anxiety and depression on surgical and functional outcomes in patients who underwent radical prostatectomy // Eur Urol Focus. – 2018. – V. 6 – № 6. – P. 1199–1204. doi: 10.1016/j.euf.2018.12.008.
30. Occhipinti S. et al. A prospective study of psychological distress after prostate cancer surgery // Psychooncol. – 2019. – V. 28. – № 12. – P. 2389–2395. doi: 10.1002/pon.5263.
31. Nelson C.J. et al. Back to baseline: erectile function recovery after radical prostatectomy from the patients' perspective // J Sex Med. – 2013. – V. 10. – № 6. – P. 1636–1643. doi: 10.1111/jsm.12135.
32. Hoyt M.A., Carpenter K.M. Sexual self-schema and depressive symptoms after prostate cancer // Psychooncol. – 2015. – V. 24. – № 4. – P. 395–401. doi: 10.1002/pon.3601.
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