• I D White, J Wilson, P Aslet, A B Baxter, A Birtle, B Challacombe, J Coe, L Grover, H Payne, S Russell, V Sangar, N Van As, and M Kirby.
• Urology Unit, The Royal Marsden NHS Foundation Trust, London & Sutton, UK.
• Int. J. Clin. Pract. 2015 Jan 1; 69 (1): 106-23.

AimTo develop a management strategy (rehabilitation programme) for erectile dysfunction (ED) after radiotherapy (RT) or androgen deprivation therapy (ADT) for prostate cancer that is suitable for use in a UK NHS healthcare context.MethodsPubMed literature searches of ED management in this patient group together with a survey of 28 experts in the management of treatment-induced ED from across the UK were conducted.ResultsData from 19 articles and completed questionnaires were collated. The findings discussed in this article confirm that RT/ADT for prostate cancer can significantly impair erectile function. While many men achieve erections through PDE5-I use, others need combined management incorporating exercise and lifestyle modifications, psychosexual counselling and other erectile aids. This article offers a comprehensive treatment algorithm to manage patients with ED associated with RT/ADT.ConclusionBased on published research literature and survey analysis, recommendations are proposed for the standardisation of management strategies employed for ED after RT/ADT. In addition to implementing the algorithm, understanding the rationale for the type and timing of ED management strategies is crucial for clinicians, men and their partners.© 2014 The Authors. International Journal of Clinical Practice Published by John Wiley & Sons Ltd.

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