Современные и будущие стратегии лечения эректильной дисфункции после нервосберегающей роботизированной радикальной простатэктомии (обзор литературы)

Эректильная дисфункция (ЭД) является одним из наиболее часто развивающихся и значимо снижающих качество жизни осложнений радикальной простатэктомии (РПЭ). По данным ряда исследований, ЭД диагностируется у 60–75% пациентов после РПЭ. Применение нервосберегающей (НС) техники операции снизило частоту нарушений эрекции после РПЭ, однако полностью не решило данную проблему. Кроме того, сохранить сосудисто-нервные пучки не всегда представляется возможным по соображениям онкологической радикальности. Все вышеперечисленные факторы делают вопрос восстановления эректильной функции одним из приоритетных направлений медицинской реабилитации пациентов после радикального оперативного вмешательства по поводу рака предстательной железы (РПЖ). Разработка новых стратегий лечения ЭД после НС РПЭ, направленных на поддержание эндотелиальной функции в кавернозных артериях до завершения ремиелинизации и восстановления поврежденных кавернозных нервов, является актуальным и активно развивающимся направлением современной андрологии.

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