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Psychotherapy: a missing piece in the puzzle of post radical prostatectomy erectile dysfunction rehabilitation.
Naccarato, A M; Reis, L O; Zani, E L; Cartapatti, M; Denardi, F.
Afiliação
  • Naccarato AM; Escuela de Ciencias Médicas, Universidad de Campinas, Unicamp, São Paulo, Brasil.
  • Reis LO; Escuela de Ciencias Médicas, Universidad de Campinas, Unicamp, São Paulo, Brasil. Electronic address: reisleo@unicamp.br.
  • Zani EL; Escuela de Ciencias Médicas, Universidad de Campinas, Unicamp, São Paulo, Brasil.
  • Cartapatti M; Escuela de Ciencias Médicas, Universidad de Campinas, Unicamp, São Paulo, Brasil.
  • Denardi F; Escuela de Ciencias Médicas, Universidad de Campinas, Unicamp, São Paulo, Brasil.
Actas Urol Esp ; 38(6): 385-90, 2014.
Article em En, Es | MEDLINE | ID: mdl-24360771
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 20mg 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prostatectomia / Psicoterapia / Inibidores da Fosfodiesterase 5 / Tadalafila / Disfunção Erétil Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Aged / Humans / Male / Middle aged Idioma: En / Es Revista: Actas Urol Esp Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Espanha
Texto completo
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XML
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Prostatectomia / Psicoterapia / Inibidores da Fosfodiesterase 5 / Tadalafila / Disfunção Erétil Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Limite: Aged / Humans / Male / Middle aged Idioma: En / Es Revista: Actas Urol Esp Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Brasil País de publicação: Espanha