{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T22:16:24Z","timestamp":1788992184389,"version":"build-2803163510"},"reference-count":77,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"unspecified","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2021,5,11]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the rate of erectile dysfunction (ED) after pelvic ring fracture (PRF).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic review and meta-analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic literature search of the Cochrane, EMBASE, MEDLINE, Scopus and Web of Science Library databases was conducted in January 2020. Included were original studies performed on humans assessing ED after PRF according to the 5-item International Index of Erectile Function (IIEF-5) questionnaire and fracture classification following Young and Burgess, Tile or Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen\/Orthopedic Trauma Association. Furthermore, interventional cohort studies assessing the effect of penile rehabilitation therapy with phosphodiesterase-5-inhibitors (PDE-5-I) on IIEF-5 scores compared before and after treatment were included. Results were presented as forest plots of proportions of patients with ED after PRF or mean changes on IIEF-5 questionnaires before and after penile rehabilitation. Studies not included in the quantitative analysis were narratively summarised. Risk of bias assessment was conducted using the revised tool for the Quality Assessment on Diagnostic Accuracy Studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The systematic literature search retrieved 617 articles. Seven articles were included in the qualitative analysis and the meta-analysis. Pooled proportions revealed 37% of patients with ED after suffering any form of PRF (result on probability scale pr=0.37, 95% CI: 0.26 to 0.50). Patients after 3 months of penile rehabilitation therapy reported a higher IIEF-5 score than before (change score=6.5 points, 95% CI: 2.54 to 10.46, p value=0.0013).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite some heterogeneity and limited high-quality research, this study concludes that patients suffering from any type of PRF have an increased risk of developing ED. Oral intake of PDE-5-I for the purpose of penile rehabilitation therapy increases IIEF-5 scores and may relevantly influence quality-of-life in these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>PROSPERO registration number<\/jats:title><jats:p>CRD42020169699.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2020-045117","type":"journal-article","created":{"date-parts":[[2021,5,28]],"date-time":"2021-05-28T18:22:59Z","timestamp":1622226179000},"page":"e045117","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":13,"title":["Erectile dysfunction and penile rehabilitation after pelvic fracture: a systematic review and meta-analysis"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0862-5027","authenticated-orcid":false,"given":"Florian A","family":"Schmid","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3105-5840","authenticated-orcid":false,"given":"Ulrike","family":"Held","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Eberli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Christoph","family":"Pape","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1393-3232","authenticated-orcid":false,"given":"Sascha","family":"Halvachizadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,5,28]]},"reference":[{"key":"2024102810031234000_11.5.e045117.1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s00068-016-0754-6","article-title":"Impact of pelvic fractures on the early clinical outcomes of severely injured trauma patients","volume":"44","author":"Almahmoud","year":"2018","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2024102810031234000_11.5.e045117.2","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1016\/j.injury.2006.07.032","article-title":"Evaluation and outcome of patients after polytrauma--can patients be recruited for long-term follow-up?","volume":"37","author":"Pape","year":"2006","journal-title":"Injury"},{"key":"2024102810031234000_11.5.e045117.3","first-page":"62","article-title":"Outcome of Haemodynamically Unstable Open Pelvic Fracture Patients Managed With \"3-in-1\" Pelvic Damage Control Protocol in a Major Trauma Centre","volume":"25","author":"Aaran","year":"2018","journal-title":"J Orthop Trauma Rehabil"},{"key":"2024102810031234000_11.5.e045117.4","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1016\/j.injury.2018.06.044","article-title":"High-energy trauma patients with pelvic fractures: management trends in Ontario, Canada","volume":"49","author":"Mann","year":"2018","journal-title":"Injury"},{"key":"2024102810031234000_11.5.e045117.5","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3119-z"},{"key":"2024102810031234000_11.5.e045117.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.03.003"},{"key":"2024102810031234000_11.5.e045117.7","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1097\/MCC.0000000000000454","article-title":"Current trends in the management of hemodynamically unstable pelvic ring injuries","volume":"23","author":"Stahel","year":"2017","journal-title":"Curr Opin Crit Care"},{"key":"2024102810031234000_11.5.e045117.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0555-6"},{"key":"2024102810031234000_11.5.e045117.9","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1302\/2058-5241.4.180062","article-title":"Pelvic ring fractures in the elderly","volume":"4","author":"K\u00fcper","year":"2019","journal-title":"EFORT Open Rev"},{"key":"2024102810031234000_11.5.e045117.10","doi-asserted-by":"crossref","unstructured":"Handoll HHG , Cameron ID , Mak JCS . Multidisciplinary rehabilitation for older people with hip fractures. Cochrane Database Syst Rev 2009:CD007125. doi:10.1002\/14651858.CD007125.pub2","DOI":"10.1002\/14651858.CD007125.pub2"},{"key":"2024102810031234000_11.5.e045117.11","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.apmr.2007.06.774","article-title":"The interdisciplinary team and polytrauma rehabilitation: prescription for partnership","volume":"89","author":"Strasser","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"key":"2024102810031234000_11.5.e045117.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2014.09.004"},{"key":"2024102810031234000_11.5.e045117.13","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.sxmr.2017.06.004","article-title":"Erectile dysfunction following pelvic fracture urethral injury","volume":"6","author":"Johnsen","year":"2018","journal-title":"Sex Med Rev"},{"key":"2024102810031234000_11.5.e045117.14","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1111\/iju.13947","article-title":"Management of male pelvic fracture urethral injuries: review and current topics","volume":"26","author":"Horiguchi","year":"2019","journal-title":"Int J Urol"},{"key":"2024102810031234000_11.5.e045117.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60520-0"},{"key":"2024102810031234000_11.5.e045117.16","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"2024102810031234000_11.5.e045117.17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g7647"},{"key":"2024102810031234000_11.5.e045117.18","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199007000-00015"},{"key":"2024102810031234000_11.5.e045117.19","doi-asserted-by":"crossref","first-page":"143","DOI":"10.5435\/00124635-199605000-00004","article-title":"Acute pelvic fractures: I. causation and classification","volume":"4","author":"Tile","year":"1996","journal-title":"J Am Acad Orthop Surg"},{"key":"2024102810031234000_11.5.e045117.20","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","article-title":"Fracture and dislocation classification Compendium-2018","volume":"32 Suppl 1","author":"Meinberg","year":"2018","journal-title":"J Orthop Trauma"},{"key":"2024102810031234000_11.5.e045117.21","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00238-0"},{"key":"2024102810031234000_11.5.e045117.22","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900859"},{"key":"2024102810031234000_11.5.e045117.23","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900472"},{"key":"2024102810031234000_11.5.e045117.24","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"2024102810031234000_11.5.e045117.25","doi-asserted-by":"publisher","DOI":"10.1059\/0003-4819-155-8-201110180-00009"},{"key":"2024102810031234000_11.5.e045117.26","doi-asserted-by":"crossref","unstructured":"Higgins JPT TJ , Chandler J , Cumpston M , eds. Cochrane Handbook for Systematic Reviews of Interventions version 6.0 (updated July 2019). Cochrane, 2019.","DOI":"10.1002\/9781119536604"},{"key":"2024102810031234000_11.5.e045117.27","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"2024102810031234000_11.5.e045117.28","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216669183"},{"key":"2024102810031234000_11.5.e045117.29","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0483-0"},{"key":"2024102810031234000_11.5.e045117.30","unstructured":"R Core Team . R: a language and environment for statistical computing. Austria: R Foundation for Statistical Computing V, 2017. https:\/\/www.R-project.org\/"},{"key":"2024102810031234000_11.5.e045117.31","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.otsr.2019.01.026","article-title":"Incidence of erectile dysfunction in pelvic ring injuries: study of 48 patients at the antananarivo Hospital, Madagascar","volume":"105","author":"Fanjalalaina Ralahy","year":"2019","journal-title":"Orthop Traumatol Surg Res"},{"key":"2024102810031234000_11.5.e045117.32","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1016\/j.injury.2019.04.015","article-title":"Quality of reduction correlates with clinical outcome in pelvic ring fractures","volume":"50","author":"Pastor","year":"2019","journal-title":"Injury"},{"key":"2024102810031234000_11.5.e045117.33","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1007\/s00264-018-4030-8","article-title":"Patient-related quality of life after pelvic ring fractures in elderly","volume":"43","author":"Schmitz","year":"2019","journal-title":"Int Orthop"},{"key":"2024102810031234000_11.5.e045117.34","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/j.injury.2018.03.012","article-title":"Quality of life after pelvic ring fractures: a cross-sectional study","volume":"49","author":"Brouwers","year":"2018","journal-title":"Injury"},{"key":"2024102810031234000_11.5.e045117.35","doi-asserted-by":"crossref","DOI":"10.1016\/j.juro.2016.02.1799","article-title":"PD44-07 pelvic fracture urethral distraction defect (PFUDD) with associated rectal injury: a review of acute and definitive urologic management with long term outcomes","volume":"195","author":"Montgomery","year":"2016","journal-title":"J Urol"},{"key":"2024102810031234000_11.5.e045117.36","doi-asserted-by":"crossref","first-page":"144","DOI":"10.18502\/sjms.v13i3.2953","article-title":"Frequency of erectile dysfunction following pelvic fracture among patients admitted to two Wits teaching hospitals, South Africa","volume":"13","author":"Gdeh","year":"2018","journal-title":"Sudan Journal of Medical Sciences"},{"key":"2024102810031234000_11.5.e045117.37","doi-asserted-by":"crossref","unstructured":"King J . Impotence after fractures of the pelvis. Journal of Bone & Joint Surgery - American Volume;57:1107\u20139.","DOI":"10.2106\/00004623-197557080-00013"},{"key":"2024102810031234000_11.5.e045117.38","doi-asserted-by":"crossref","unstructured":"Metze M , Tiemann AH , Josten C . Male sexual dysfunction after pelvic fracture. Journal of Trauma-Injury Infection & Critical Care;63:394\u2013401.","DOI":"10.1097\/01.ta.0000241145.02748.df"},{"key":"2024102810031234000_11.5.e045117.39","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/j.jsxm.2020.02.005","article-title":"What Is a \"Validated Questionnaire\"? A Critical Review of Erectile Function Assessment","volume":"17","author":"Yafi","year":"2020","journal-title":"J Sex Med"},{"key":"2024102810031234000_11.5.e045117.40","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1016\/j.cjtee.2015.04.004","article-title":"Does pelvic injury trigger erectile dysfunction in men?","volume":"18","author":"Ceylan","year":"2015","journal-title":"Chin J Traumatol"},{"key":"2024102810031234000_11.5.e045117.41","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1007\/s00068-018-01067-0","article-title":"The relationship between injury mechanism and sexual dysfunction in surgically treated pelvic fractures","volume":"46","author":"Duramaz","year":"2020","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2024102810031234000_11.5.e045117.42","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B3.15662"},{"key":"2024102810031234000_11.5.e045117.43","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.1016\/S0022-5347(17)36365-6","article-title":"Posttraumatic impotence: magnetic resonance imaging and duplex ultrasound in diagnosis and management","volume":"149","author":"Armenakas","year":"1993","journal-title":"J Urol"},{"key":"2024102810031234000_11.5.e045117.44","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1111\/j.1464-410X.1987.tb05046.x","article-title":"Results of investigation of impotence in patients with overt or probable neuropathy","volume":"60","author":"Robinson","year":"1987","journal-title":"Br J Urol"},{"key":"2024102810031234000_11.5.e045117.45","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1097\/00005373-198805000-00026","article-title":"Impotence following pelvic fracture","volume":"28","author":"Ellison","year":"1988","journal-title":"J Trauma"},{"key":"2024102810031234000_11.5.e045117.46","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000067660.51231.05"},{"key":"2024102810031234000_11.5.e045117.47","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)67324-5"},{"key":"2024102810031234000_11.5.e045117.48","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1995.tb07234.x"},{"key":"2024102810031234000_11.5.e045117.49","doi-asserted-by":"publisher","DOI":"10.1016\/j.aju.2014.09.004"},{"key":"2024102810031234000_11.5.e045117.50","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2009.08589.x"},{"key":"2024102810031234000_11.5.e045117.51","doi-asserted-by":"crossref","first-page":"S29","DOI":"10.21037\/tau.2017.12.35","article-title":"Pelvic fracture urethral injury in males-mechanisms of injury, management options and outcomes","volume":"7","author":"Barratt","year":"2018","journal-title":"Transl Androl Urol"},{"key":"2024102810031234000_11.5.e045117.52","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1159\/000499282","article-title":"Outcomes following primary realignment versus suprapubic cystostomy with delayed urethroplasty for pelvic Fracture-Associated posterior urethral injury: a systematic review with meta-analysis","volume":"13","author":"Light","year":"2019","journal-title":"Curr Urol"},{"key":"2024102810031234000_11.5.e045117.53","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.urology.2018.01.018","article-title":"Delayed posterior urethroplasty following pelvic fracture urethral injury: do we have to wait 3 months?","volume":"116","author":"Scarberry","year":"2018","journal-title":"Urology"},{"key":"2024102810031234000_11.5.e045117.54","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1016\/j.juro.2017.04.081","article-title":"The immediate management of pelvic fracture urethral Injury-Endoscopic realignment or cystostomy?","volume":"198","author":"Zou","year":"2017","journal-title":"J Urol"},{"key":"2024102810031234000_11.5.e045117.55","doi-asserted-by":"crossref","DOI":"10.1016\/j.avsg.2018.06.020","article-title":"Endovascular repair of iliac vein laceration associated with complex pelvic fracture","volume":"54","author":"Mosquera Rey","year":"2019","journal-title":"Ann Vasc Surg"},{"key":"2024102810031234000_11.5.e045117.56","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1016\/j.injury.2012.12.004","article-title":"Pudendal nerve in pelvic bone fractures","volume":"44","author":"B\u00e1\u010da","year":"2013","journal-title":"Injury"},{"key":"2024102810031234000_11.5.e045117.57","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.06.044"},{"key":"2024102810031234000_11.5.e045117.58","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/S0022-5347(18)34595-6","article-title":"330: sexual and excretory dysfunction one year after pelvic fracture","volume":"173","author":"Wright","year":"2005","journal-title":"J Urol"},{"key":"2024102810031234000_11.5.e045117.59","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e31828fc063"},{"key":"2024102810031234000_11.5.e045117.60","doi-asserted-by":"crossref","first-page":"2027","DOI":"10.1016\/j.juro.2011.01.076","article-title":"Sexual function impairment after high energy pelvic fractures: evidence today","volume":"185","author":"Harvey-Kelly","year":"2011","journal-title":"J Urol"},{"key":"2024102810031234000_11.5.e045117.61","first-page":"27","article-title":"Impotence due to pelvic trauma: treatment with papaverine and PGE1","volume":"6","author":"Delle Rose","year":"1992","journal-title":"Acta Urologica Italica"},{"key":"2024102810031234000_11.5.e045117.62","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000145249.24842.b6"},{"key":"2024102810031234000_11.5.e045117.63","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1517\/14740338.2016.1131818","article-title":"The safety of phosphodiesterase type 5 inhibitors for erectile dysfunction","volume":"15","author":"Ventimiglia","year":"2016","journal-title":"Expert Opin Drug Saf"},{"key":"2024102810031234000_11.5.e045117.64","doi-asserted-by":"crossref","first-page":"852","DOI":"10.1016\/j.jsxm.2016.02.166","article-title":"Efficacy and safety of sildenafil by age in men with erectile dysfunction","volume":"13","author":"Goldstein","year":"2016","journal-title":"J Sex Med"},{"key":"2024102810031234000_11.5.e045117.65","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1007\/s00345-018-2583-1","article-title":"Comparative efficacy and safety of phosphodiesterase type 5 inhibitors for erectile dysfunction in diabetic men: a Bayesian network meta-analysis of randomized controlled trials","volume":"37","author":"Liao","year":"2019","journal-title":"World J Urol"},{"key":"2024102810031234000_11.5.e045117.66","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1007\/s11255-017-1644-5","article-title":"Direct comparison of tadalafil with sildenafil for the treatment of erectile dysfunction: a systematic review and meta-analysis","volume":"49","author":"Gong","year":"2017","journal-title":"Int Urol Nephrol"},{"key":"2024102810031234000_11.5.e045117.67","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1016\/j.jsxm.2017.09.020","article-title":"Penile rehabilitation therapy following radical prostatectomy: a meta-analysis","volume":"14","author":"Liu","year":"2017","journal-title":"J Sex Med"},{"key":"2024102810031234000_11.5.e045117.68","article-title":"Penile rehabilitation for postprostatectomy erectile dysfunction","volume":"10","author":"Philippou","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"2024102810031234000_11.5.e045117.69","doi-asserted-by":"crossref","DOI":"10.1038\/srep32853","article-title":"Comparisons of regular and on-demand regimen of PED5-Is in the treatment of ED after nerve-sparing radical prostatectomy for prostate cancer","volume":"6","author":"Qiu","year":"2016","journal-title":"Sci Rep"},{"key":"2024102810031234000_11.5.e045117.70","first-page":"15","article-title":"[Use of tadalafil in the rehabilitation of patients with a history of posterior urethral injury in the context of pelvic fracture]","volume":"16","author":"Nieto-Esquivel","year":"2018","journal-title":"Rev Int Androl"},{"key":"2024102810031234000_11.5.e045117.71","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1111\/j.1743-6109.2011.02470.x","article-title":"An assessment of the efficacy and safety of sildenafil administered to patients with erectile dysfunction referred for posterior urethroplasty: a single-center experience","volume":"9","author":"Fu","year":"2012","journal-title":"J Sex Med"},{"key":"2024102810031234000_11.5.e045117.72","doi-asserted-by":"crossref","DOI":"10.1016\/j.jsxm.2016.11.056","article-title":"103 effect of daily sildenafil on patients with absent nocturnal erections due to pelvic fracture urethral disruption: a single-center experience","volume":"14","author":"Peng","year":"2017","journal-title":"J Sex Med"},{"key":"2024102810031234000_11.5.e045117.73","first-page":"27","article-title":"The efficacy and safety of sildenafil on treatment of patients with erectile dysfunction referred for posterior urethroplasty: a single center experience","volume":"25","author":"Qiang","year":"2011","journal-title":"Chinese Journal of Andrology"},{"key":"2024102810031234000_11.5.e045117.74","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1038\/s41443-018-0094-7","article-title":"Low-Intensity shock wave therapy ameliorates erectile dysfunction in men with pelvic fractures associated with urethral injury","volume":"31","author":"Wang","year":"2019","journal-title":"Int J Impot Res"},{"key":"2024102810031234000_11.5.e045117.75","doi-asserted-by":"crossref","first-page":"582","DOI":"10.4103\/aja.aja_50_19;","article-title":"Adding a vacuum erection device to regular use of tadalafil improves penile rehabilitation after posterior urethroplasty","volume":"21","author":"Zhang","year":"2019","journal-title":"Asian J Androl"},{"key":"2024102810031234000_11.5.e045117.76","doi-asserted-by":"crossref","first-page":"e1224","DOI":"10.1016\/j.juro.2017.02.2858","article-title":"MP91-18 the role of vacuum erection devices in penile rehabilitation after posterior urethral anastomotic urethroplasty:a pilot study","volume":"197","author":"Song","year":"2017","journal-title":"J Urol"},{"key":"2024102810031234000_11.5.e045117.77","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01626.x"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2020-045117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T17:15:17Z","timestamp":1730135717000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2020-045117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":77,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,28]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bmjopen-2020-045117"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2020-045117","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}