Optimization of functional results of radical prostatectomy. Rehabilitation programs for patients

Introduction. Currently, radical prostatectomy (RPE) is considered as the main method of the surgical treatment of localized forms of prostate cancer (PCa), which provides a high relapse-free survival. Urinary incontinence and erectile dysfunction (ED) are the common complications of this surgery. Unfortunately, nowadays there is no unified approach to the rehabilitation of patients after RPE. Materials and methods. In order to resolve this issue, we created a postoperative program. The integrated into the intrahospital information system software was developed to implement the rehabilitation program, and the PCa patient registry was provided. Validated questionnaires ICIQ-SF, IIEF-5 and pad-test were used to evaluate functional results. Three lines of instrumental/apparatus and pharmacological treatment are used in the rehabilitation of patients with ED and urinary incontinence, taking into account the duration of the postoperative period, the results of urodynamic studies and the individual characteristics of the patient...