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Type: Artigo de periódico
Title: Psychotherapy: A Missing Piece In The Puzzle Of Post Radical Prostatectomy Erectile Dysfunction Rehabilitation [psicoterapia: Una Pieza Que Falta En El Puzle De La Rehabilitación De La Disfunción Eréctil Tras Prostatectomía Radical]
Author: Naccarato A.M.
Reis L.O.
Zani E.L.
Cartapatti M.
Denardi F.
Abstract: Objectives To measure the impact of psychotherapy associated to the use of Tadalafil in the improvement of erectile function after radical prostatectomy. Methods From 132 patients surgically treated for prostate cancer, thirty sequential patients with bilateral nerve sparing, low risk controlled disease and post-surgery erectile dysfunction (ED) took Tadalafil 20 mg and underwent psychotherapy sessions, both weekly for three months. Patients were interviewed to establish the quality of erection using the instrument IIEF-5 and to measure psychological features impacting erectile function, aspects related to function, dysfunction, physical and emotional discomfort were evaluated with the help of an intensity scale. Results The average age was 62.5 (46 to 77 years), 96.7% had a stable relationship, 56.6% of the patients accepted the diagnosis and 43.2% exhibited defense mechanisms (3.3% negation, 6.6% revulsion, 33.3% concern). A positive correlation was observed between erectile function and time exposed to treatment (IIEF-5 - 9.7 to 13.3, p = 0.0006), with increased satisfaction with life in general (2.1 to 2.7, P =.028) and sexual life (3.1 to 3.7, P =.028), added to facilitation of expressing feelings/emotions (1.8 to 3.0, P =.0008). Satisfaction with relationship and intimacy with partner did not present significant improve (P =.12 and P =.61, respectively). Conclusions A holistic patient care with more complete ED rehabilitation includes psychotherapy with a positive correlation between erectile function and treatment exposition. Psychotherapy allowed the identification of important spouse related factors in this scenario. © 2013 AEU. Published by Elsevier España, S.L. All rights reserved.
Editor: Elsevier Ltd
Rights: fechado
Identifier DOI: 10.1016/j.acuro.2013.10.012
Date Issue: 2014
Appears in Collections:Unicamp - Artigos e Outros Documentos

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