Simultaneous penile prothesis implantation during radical prostatectomy in patients with localized prostate cancer and erectile dysfunction
Introduction. Prostate cancer (PCa) is one of the most common malignancies in middle-aged and older men, ranking second in incidence and sixth in cancer-related mortality worldwide. Among radical treatment options for localised PCa, radical prostatectomy (RP) remains the preferred approach. Objective. To review the current literature on simultaneous penile prosthesis implantation at the time of radical prostatectomy in patients with localised prostate cancer and erectile dysfunction (ED). Materials and methods. A systematic literature search was performed using both international and Russian databases, including Medline, Scopus, Web of Science, PubMed, and eLibrary, to identify rel-evant studies for this review. Results. The review focused on three key aspects: (1) the pathogenesis of erectile dysfunction follow-ing radical prostatectomy; (2) contemporary management strategies for post-prostatectomy ED; and (3) the rationale, techniques, and outcomes of simultaneous penile prosthesis implantation during radical prostatectomy in patients with concomitant PCa and ED. Conclusion. Simultaneous penile prosthesis implantation at the time of radical prostatectomy may rep-resent a preferred option in patients for whom nerve-sparing techniques are contraindicated for onco-logical reasons, offering an effective and safe approach to restoring erectile function. This strategy may also be particularly beneficial in highly motivated patients seeking to preserve penile length.