Impact of Low-Dose Oral Sildenafil on Erectile Function As Penile Rehabilitation Protocol After Nerve Sparing Radical Cystectomy in Zagazig University Hospitals.

Bladder cancer is very common cancer and Radical cystoprostatectomy is the treatment of choice for muscle invasive bladder cancer and in non-muscle invasive, About 90%of the males complain if ED post nerve sparing radical cystectomy The study included 25 potent and sexually active males with organ confined bladder cancer who were treated with radical cystectomy and urinary diversion .and we follow the patients with Doppler penile us and international index of erectile function and our results shows that no significant deterioration of arterial mechanism postoperatively over preoperative evaluation in both surgical groups p = or more than 0.05. In our study spontaneous progressive return of erectile function over the following months among patients receive sildenafile occurred better than the control group. We find that The recoverability of erectile capacity in post- radical cystoprostatectomy patients is the most part identified with change inveno-occlusive mechanism and the use of low dose oral sildenafil is very beneficial in restoration of erectile function after major nerve sprain pelvic surgery.