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Background and Purpose Sexual dysfunction (SD) is a frequent side effect associated with radical prostatectomy (RP) for prostate cancer (PCa). Some studies have showed the benefit associated with preoperative ****ual rehabilitation (prehabilitation) and Enhanced Recovery After Surgery (ERAS) for RP, but no clear clinical recommendations are available yet. Our aim was to conduct a systematic review on ****ual prehabilitation prior to RP for patients with a localized PCa and analyze the impact on postoperative ****ual health compared with the standard post-opera