Aspectos negligenciados na reabilitação sexual masculina após prostatectomia radical
Keywords:
Prostatectomia, reabilitação, disfunção erétil, orgasmo, ejaculaçãoAbstract
O câncer de próstata é uma das neoplasias mais frequentes na população masculina. A prostatectomia radical está entre os principais tratamentos para essa afecção, sendo a primeira escolha para casos de doenças localizadas e localmente avançadas. Contudo, essa modalidade de tratamento cirúrgico costuma trazer grande prejuízo à função sexual masculina como um todo. Sabe-se que a disfunção erétil é uma complicação frequente e temida do tratamento cirúrgico do câncer de próstata, de forma que há diversas estratégias para prevenir e tratar tal condição. Porém, uma adequada reabilitação sexual desses pacientes envolve um atendimento global às dificuldades encontradas no restabelecimento de uma vida sexual satisfatória, não apenas focado na qualidade das ereções. Infelizmente, há uma série de problemas sexuais frequentes que são desencadeados pela prostatectomia radical, mas que ainda são extremamente negligenciados no cuidado pós-operatório. Dentre eles podemos citar: queda do desejo sexual, perda de volume peniano, desenvolvimento de deformidades penianas e distúrbios do orgasmo e da ejaculação. Neste artigo são abordados os principais efeitos sexuais da prostatectomia radical que costumam ser negligenciados no seguimento pós-operatório, além de princípios fundamentais para um programa de reabilitação sexual coerente com as demandas dessa população.
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