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. 2017 Feb;6(1):2–11. doi: 10.21037/tau.2016.08.14

Table 2. Penile rehabilitation after radical prostatectomy: summary of clinical trials using non-oral modalities.

Author Year N Follow-up Study design ED treatment (treatment period) Level of evidence Significant findings
McCullough et al. (33) 2010 212 9 months Prospective, randomized IUA vs. sildenafil (9 months) 2 No difference in IIEF and intercourse success between treatments
Montorsi et al. (34) 1997 30 12 weeks Prospective randomized ICI vs. no treatment (12 weeks) 2 ICI has higher rate of spontaneous erections compared with controls
Mulhall et al. (35) 2005 132 18 months Prospective, non-randomized Sildenafil +/− ICI (12 months) 3 Treatment group had more spontaneous erections and higher IIEF compared with controls. Men on rehabilitation are more likely to respond to treatment
Mulhall et al. (36) 2009 84 2 years Retrospective, no control Sildenafil +/− ICI: early (2 months) vs. delayed (7 months) 4 Early better than delayed group in unassisted erections
Raina et al. (37) 2006 109 9 months Prospective, randomized Daily VED vs. no treatment 2 VED improved rate of spontaneous erections and decreased penile shrinkage
Raina et al. (38) 2010 141 5 years Prospective, non-randomized VED and other non-oral therapies (9 months) 3 Most men who tried non-oral agents, with or without VED, remained sexually active after 5 years
Engel et al. (39) 2011 23 12 months Prospective, randomized VED and tadalafil vs. tadalafil 2 Combination therapy had higher IIEF scores
Fode et al. (40) 2014 68 18 months Retrospective PVS with PDE5I vs. no PVS with PDE5I (6 weeks) 3 No significant difference, though trend of better IIEF score in patients using PVS
Yiou et al. (41) 2015 12 1 year Phase I–II, no-control ICSCT 4 Significant improvement in IIEF scores compared to baseline. Well tolerated

VED, vacuum erection devices; IUA, intraurethral alprostadil; ICI, intracavernosal injection therapy; PVS, penile vibratory stimulation; IIEF, international index of erectile function score; ICSCT, intracavernosal stem cell therapy.