Karaköse, AyhanYiğit, Yasin2021-09-102021-09-102021Karakose, A., & Yitgin, Y. (2021). Penile Rehabilitation with Low-intensity Extracorporeal Shock Wave Therapy in Patients After Prostate Cancer Surgery. Early Physiological Changes and Postoperative Follow-up Outcomes. International journal of clinical practice, e14804. Advance online publication. https://doi.org/10.1111/ijcp.14804https://doi.org/10.1111/ijcp.14804https://hdl.handle.net/20.500.12713/2041Introduction: To investigate the efficacy, safety, and postoperative outcomes of using tadalafil and Li-ESWT on penile rehabilitation and preventing urinary incontinence after radical prostatectomy. Methods: In total, we included total 66 patients who used only tadalafil (n=32) in group 1 and used tadalafil and treated by Li-ESWT (n=34) in group 2. We noted International Index of Erectile Function (IIEF) 5, daily incontinence pad measurements at preoperative, postoperative 3rd, 6th and 12th months respectively. We also evaluated penis blood flow and neovascularization by penile doppler ultrasonography at postoperative 3rd and 12th months for all patients. Statistical analyses were performed with SPSS version 18. A P-value<0.05 was considered significant. Results: Preoperative demographic characteristics were similar in the 2 groups. There was a statistically significant improvement in IIEF-5, which started at the 6th month and continued increasingly at the 12th month in group 2 compared to group 1. Also, there was a significant decrease in incontinence rate in group 2 compared to group 1 in the sixth month. Conclusions: Combined using of tadalafil and Low-intensity Extracorporeal Shock Wave Therapy (Li-ESWT) are highly effective and safety to treatment erectile dysfunction and prevent urinary incontinence after prostate cancer surgery.eninfo:eu-repo/semantics/closedAccessLow Intensity Extracorporeal Shock Wave Therapy (Li-ESWT)Erectile DysfunctionPenile RehabilitationUrinary IncontinenceArticle34487369WOS:0006977086000012-s2.0-85115267177Q210.1111/ijcp.14804N/A