Título:	Conservative treatment of sexual dysfunction amongmen undergoing prostate cancer treatment: a systematic review
Autor(es):	Pedroso, Isadora Martins da Fonseca Siqueira, Maria Luíza Souza Santos, Thaísy Andressa Bastos Primo de Sousa Barbosa, Keyla de Paula Lima, Elio Armando Nunes de Sampaio, Andréia Cristina Ribeiro Izidro Cunha, Katiane da Costa Silva, Marianne Lucena da Alves, Aline Teixeira
Afiliação do autor:	University of Brasília, Faculty of Ceilândia, Department of Physiotherapy University of Brasília, Faculty of Ceilândia, Department of Physiotherapy State University of Pará, Center for Biological and Health Sciences University of Brasília, Faculty of Ceilândia, Department of Physiotherapy, Rehabilitation Sciences Program University of Brasília, Faculty of Ceilândia, Department of Physiotherapy, Rehabilitation Sciences Program Universidade Paulista de Brasília, Department of Physiotherapy State University of Pará, Center for Biological and Health Sciences University of Brasília, Department of Public Health University of Brasília, Faculty of Ceilândia, Department of Physiotherapy, Rehabilitation Sciences Program
Assunto:	Pelve - câncer Próstata - câncer Próstata - câncer - tratamento Disfunção sexual Fisioterapia
Data de publicação:	27-Jun-2024
Editora:	Oxford University Press on behalf of The International Society of Sexual Medicine
Referência:	PEDROSO, Isadora Martins da Fonseca et al. Conservative treatment of sexual dysfunction among men undergoing prostate cancer treatment: a systematic review. Sexual Medicine Reviews, [S. l.], qeae045, 2024. DOI: https://doi.org/10.1093/sxmrev/qeae045.
Abstract:	Introduction One of the changes caused by pelvic cancers is the decrease in patients’ sexual function, which influences their quality of life (QoL) during and after treatment. Sexual dysfunction (SD) is associated with severe ejaculatory dysfunction, sexual dissatisfaction, reduced libido and sexual desire, decreased intensity of orgasm, difficulty in erection, and lower sexual frequency. Objectives This systematic review investigated the effectiveness of conservative treatments (nonsurgical and nonpharmacologic) for SD in males with pelvic cancer. Methods Systematic searches were performed in the Cochrane Library, PubMed, CINAHL, PEDro, Embase, and VHL databases in September 2023 by using MeSH terms related to population, study design, intervention, and outcome. Results Only prostate cancer studies were included due to a lack of studies in other treatments. Studies used pelvic floor muscle training (8 studies); biofeedback (1 study); a penile vibrator (1 study); electrostimulation (2 studies); shock wave therapy (2 studies); aerobic, resistance, and flexibility exercises (2 studies); and a vacuum erection device (1 study). All articles assessed sexual function and reported improvements in the intervention group, including 5 with no differences between the groups. Articles involving shock wave therapy described improvements in SD but were not clinically relevant. Studies evaluating QoL reported benefits in the experimental groups. Adverse effects of a vacuum erection device and penile vibrator were reported. Conclusion Conservative treatments are more effective than others in treating SD in men with prostate cancer. Further studies are needed to assess the unwanted effects of these treatments. In this study, we found evidence that this type of therapy improves sexual function and QoL in this population.
Unidade Acadêmica:	Faculdade UnB Ceilândia (FCE) Curso de Fisioterapia (FCE-FISIO) Faculdade de Ciências da Saúde (FS) Departamento de Saúde Coletiva (FS DSC)
Programa de pós-graduação:	Programa de Pós-Graduação em Ciências da Reabilitação
DOI:	https://doi.org/10.1093/sxmrev/qeae045
Versão da editora:	https://academic.oup.com/smr/advance-article-abstract/doi/10.1093/sxmrev/qeae045/7700060?redirectedFrom=fulltext
Aparece nas coleções:	Artigos publicados em periódicos e afins

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