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首页> 外文期刊>Nature reviews. Urology >Exercise therapy for sexual dysfunction after prostate cancer
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Exercise therapy for sexual dysfunction after prostate cancer

机译：运动疗法治疗前列腺癌后的性功能障碍

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Sexual dysfunction is one of the most common, distressing and persistent adverse effects of prostate cancer treatment, and has a profound effect on quality of life for the patient and his partner. Current health-care provisions are inadequate to address the demand for the management of sexual dysfunction, with approximately half of prostate cancer survivors reporting unmet sexual health-care needs. Management strategies predominately involve pharmacological interventions to address the direct physiological effects of prostate cancer treatment on erectile function. However, the aetiology of sexual dysfunction is multifaceted and considerable physiological and psychological adverse effects of prostate cancer treatments, which are not addressed by pharmacological intervention, contribute to sexual dysfunction. Exercise has established efficacy for improving many of these factors in men with prostate cancer, including changes in body composition (especially to counteract body feminization), fatigue, physical function, risk of comorbid conditions, depression, anxiety and quality of life. Emerging evidence indicates that exercise also has a positive effect on sexual desire and sexual activity in men with prostate cancer.
机译：性功能障碍是前列腺癌治疗中最常见，令人困扰和持续的不良反应之一，对患者及其伴侣的生活质量具有深远的影响。当前的医疗保健规定不足以解决对性功能障碍管理的需求，大约一半的前列腺癌幸存者报告未满足性保健需求。管理策略主要涉及药理干预，以解决前列腺癌治疗对勃起功能的直接生理影响。然而，性功能障碍的病因是多方面的，并且前列腺癌治疗的相当大的生理和心理不良反应（药理干预并未解决）导致性功能障碍。锻炼已确定可改善前列腺癌男性的许多这些因素的功效，包括身体成分的变化（尤其是抵消女性身体机能），疲劳，身体机能，合并症的风险，抑郁，焦虑和生活质量。新兴证据表明，锻炼对前列腺癌男性的性欲和性活动也具有积极作用。

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