在接受前列腺癌治疗的男性中,对性功能障碍的保守治疗:系统性审查
Isadora Martins da Fonseca Pedroso1, Maria Luíza Souza Siqueira1, Thaísy Andressa Bastos Primo de Sousa Santos2
1Department of Physiotherapy, Faculty of Ceilândia, University of Brasília, Brasília, 72225290, Brazil.
Sexual medicine reviews
|June 27, 2024
概括
保守的治疗方法有望改善前列腺癌患者的性功能和生活质量. 需要进一步的研究才能充分了解这些疗法的益处和潜在副作用.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 康复医学 康复医学 康复医学
背景情况:
- 盆腔癌及其治疗方法显著影响男性的性功能和生活质量 (QoL).
- 性功能障碍 (SD) 包含各种问题,包括勃起困难,性欲下降和高潮问题.
研究的目的:
- 系统地审查男性盆腔癌患者性功能障碍的保守,非手术和非药物治疗的有效性.
- 识别和评估旨在改善治疗后性健康结果的干预措施.
主要方法:
- 在2023年9月,在多个数据库 (Cochrane Library,PubMed,CINAHL,PEDro,Embase,VHL) 进行了全面的系统文献搜索.
- 与人口,研究设计,干预和结果相关的MeSH术语被用于确保彻底性.
主要成果:
- 该审查仅包括前列腺癌研究,因为缺乏其他盆腔癌的数据.
- 评估了各种保守治疗方法,包括盆地肌肉训练,生物反,阴茎振动器,电刺激,冲击波治疗,炼计划和真空勃起装置.
- 大多数研究报告说,干预组的性功能和QOL有所改善,尽管有些缺乏临床相关性或在组之间没有差异. 对于一些设备,注意到了一些不良影响.
结论:
- 保守疗法在治疗前列腺癌男性性功能障碍方面表现出有效性.
- 有证据表明,这些治疗可以改善性功能和整体生活质量.
- 需要对这些保守治疗的长期影响和潜在不良事件进行进一步的研究.
相关概念视频
01:20Disorders of the Male Reproductive System
384
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
384
01:28Treatment for Pulmonary Arterial Hypertension: Phosphodiesterase Inhibitors
146
Phosphodiesterase 5 (PDE5) inhibitors are potent enzymes that function to hydrolyze cyclic nucleotides to their corresponding 5' monophosphates. Their unique biochemical properties have been applied in treating Pulmonary Arterial Hypertension (PAH).
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
Among the PDE5 inhibitors, sildenafil (Revatio) stands out as a competitive and selective inhibitor. It operates by elevating cellular levels of cGMP and augmenting signaling through the cGMP-PKG pathway, promoting vasodilation. Upon oral...
146
01:23Infertility in Males
259
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
259
01:17Male Sexual Response: Erection & Ejaculation
2.0K
Sexual stimulation can take various forms, such as physical touch and visual or auditory cues. When this happens, the parasympathetic reflex in the sacral portion of the spinal cord is activated. This reflex stimulates the release of nitric oxide (NO), which then dilates the arterioles in the penis, increasing blood flow to the erectile tissues - the corpora cavernosa and corpus spongiosum.
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
The blood filling the erectile tissues compresses the veins, which helps to prevent blood from leaving...
2.0K
01:28Menopause
154
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
154
02:49Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K