Addressing erectile dysfunction in prostate cancer survivors after radical prostatectomy

ABSTRACT Introduction: Erectile dysfunction is a common and severe adverse effect after radical prostatectomy for prostate cancer. Research on post-surgical erectile dysfunction has so far mostly focused on physiology, prevalence, related factors, and treatment. This review takes a broader approach adding an integrated theory of sexuality as well as social, relational, and psychological perspectives. Areas covered: In this updated review, we have incorporated recent data concerning erectile dysfunction after radical prostatectomy regarding theories of sexuality and masculinity, relevant aspects of sexual function, management of erectile dysfunction, psychological reactions to and interventions toward erectile dysfunction in men treated for prostate cancer, and finally social attitudes towards sex in elderly people. Expert commentary: The physiological and patient-only approach to erectile dysfunction after radical prostatectomy has definite limitations. In the future this problem must be approached in a broader perspective in order to reach optimal sexual life for the patients and their partners.