Sexual Dysfunction After Radical Prostatectomy

2009 ◽  
pp. 1-16
Author(s):  
Raanan Tal ◽  
John P. Mulhall
Keyword(s):  
Sexual Dysfunction ◽  
Radical Prostatectomy

scholarly journals Quality-of-Life Impact of Primary Treatments for Localized Prostate Cancer in Patients Without Hormonal Treatment

2010 ◽  
Vol 28 (31) ◽  
pp. 4687-4696 ◽  
Author(s):  
Yolanda Pardo ◽  
Ferran Guedea ◽  
Ferrán Aguiló ◽  
Pablo Fernández ◽  
Víctor Macías ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Urinary Incontinence ◽  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Adverse Effects ◽  
Hormonal Treatment ◽  
External Radiotherapy

Purpose Earlier studies evaluating the effect on quality of life (QoL) of localized prostate cancer interventions included patients receiving adjuvant hormone therapy, which could have affected their outcomes. Our objective was to compare the QoL impact of the three most common primary treatments on patients who were not receiving adjuvant hormonal treatment. Patients and Methods This was a prospective study of 435 patients treated with radical prostatectomy, external-beam radiotherapy, or brachytherapy. QoL was assessed before and after treatment with the Short Form-36 and the Expanded Prostate Cancer Index Composite. Differences between groups were tested by analysis of variance. Distribution of outcome at 3 years was examined by stratifying according to baseline status. Generalized estimating equation models were constructed to assess the effect of treatment over time. Results Compared with the brachytherapy group, the prostatectomy group showed greater deterioration on urinary incontinence and sexual scores but better urinary irritative-obstructive results (−18.22, −13.19, and +6.38, respectively, at 3 years; P < .001). In patients with urinary irritative-obstructive symptoms at baseline, improvement was observed in 64% of those treated with nerve-sparing radical prostatectomy. Higher bowel worsening (−2.87, P = .04) was observed in the external radiotherapy group, with 20% of patients reporting bowel symptoms. Conclusion Radical prostatectomy caused urinary incontinence and sexual dysfunction but improved pre-existing urinary irritative-obstructive symptoms. External radiotherapy and brachytherapy caused urinary irritative-obstructive adverse effects and some sexual dysfunction. External radiotherapy also caused bowel adverse effects. Relevant differences between treatment groups persisted for up to 3 years of follow-up, although the difference in sexual adverse effects between brachytherapy and prostatectomy tended to decline over long-term follow-up. These results provide valuable information for clinical decision making.

Sexual Dysfunction in Female Partners of Men Who Have Undergone Radical Prostatectomy Correlates with Sexual Dysfunction of the Male Partner

2005 ◽  
Vol 2 (6) ◽  
pp. 833-841 ◽  
Author(s):  
Alan Shindel ◽  
Sejal Quayle ◽  
Yan Yan ◽  
Adnan Husain ◽  
Cathy Naughton
Keyword(s):  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Male Partner ◽  
Female Partners

MP84-17 INCIDENCE OF CLIMACTURIA IN MEN WITH SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY

2020 ◽  
Vol 203 ◽  
pp. e1271
Author(s):  
Homero Filho* ◽  
Bruno Nascimento ◽  
Miguel Srougi ◽  
Jose Cury ◽  
Rogerio Sayao ◽  
...  
Keyword(s):  
Sexual Dysfunction ◽  
Radical Prostatectomy

Time Course and Predictors of Symptoms After Primary Prostate Cancer Therapy

2003 ◽  
Vol 21 (21) ◽  
pp. 3979-3986 ◽  
Author(s):  
James A. Talcott ◽  
Judith Manola ◽  
Jack A. Clark ◽  
Irving Kaplan ◽  
Clair J. Beard ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Prognostic Factors ◽  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Sexual Function ◽  
Time Course ◽  
Bowel Function ◽  
Primary Treatment ◽  
Organ Systems ◽  
Choice Of Treatment

Purpose: Understanding the distinctive patterns of treatment-related dysfunction after alternative initial treatments for early prostate cancer (PC) may improve patients’ choice of treatment and later help them adjust to its consequences. We characterized the time course of treatment complications while adjusting for potentially confounding pretreatment factors hindering other observational studies. Patients and Methods: In a prospective cohort study of 417 men we assessed urinary, bowel, and sexual function from before primary treatment to 24 months after. To control for potential confounding, we measured sociodemographic and PC prognostic factors, medical comorbidity, and pretreatment function commonly affected by PC and its treatment. Results: Patients who underwent external beam radiotherapy (EBRT), radical prostatectomy (RP), and brachytherapy (BT) differed significantly in sociodemographic factors, cancer prognostic factors, and pretreatment symptom status, especially sexual function. Urinary incontinence increased sharply after RP, while bowel problems and urinary irritation/obstruction rose after EBRT and BT. Sexual dysfunction increased in all patients, particularly after radical prostatectomy, and nerve-sparing surgical technique had little apparent benefit. There was no change in urinary function and little change in overall bowel function after 12 months, but the time course of sexual dysfunction varied by treatment and, for bowel function, by symptom. Multiple regression modeling confirmed that treatment influences all 24-month outcomes, but residual confounding persisted. Conclusion: Pretreatment function and the primary treatment modality for early stage PC strongly predict the affected organ systems and time course of dysfunction. With this information, patients and their physicians may refine their choice of treatment and better anticipate its consequences.

Effects of Early Pelvic-Floor Muscle Exercise for Sexual Dysfunction in Radical Prostatectomy Recipients

2012 ◽  
Vol 35 (2) ◽  
pp. 106-114 ◽  
Author(s):  
Yu-Hua Lin ◽  
Tsan-Jung Yu ◽  
Victor Chia-Hsiang Lin ◽  
Hua-Pin Wang ◽  
Kevin Lu
Keyword(s):  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Muscle Exercise ◽  
Pelvic Floor Muscle Exercise

scholarly journals The Prostate Cancer Rehabilitation Clinic: a biopsychosocial clinic for sexual dysfunction after radical prostatectomy

2018 ◽  
Vol 25 (6) ◽  
Author(s):  
A. Matthew ◽  
N. Lutzky-Cohen ◽  
L. Jamnicky ◽  
K. Currie ◽  
A. Gentile ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Survival Rate ◽  
Sexual Dysfunction ◽  
Radical Prostatectomy ◽  
Relative Survival ◽  
Cost Effective ◽  
Substantial Effect ◽  
Cancer Rehabilitation ◽  
Intervention Teams ◽  
Rehabilitation Clinic

Purpose The most prevalent intervention for localized prostate cancer (pca) is radical prostatectomy (rp), which has a 10-year relative survival rate of more than 90%. The improved survival rate has led to a focus on reducing the burden of treatment-related morbidity and improving the patient and partner survivorship experience. Post-rp sexual dysfunction (sdf) has received significant attention, given its substantial effect on patient and partner health-related quality of life. Accordingly, there is a need for sdf treatment to be a fundamental component of pca survivorship programming.Methods Most research about the treatment of post-rp sdf involves biomedical interventions for erectile dysfunction (ed). Although findings support the effectiveness of pro-erectile agents and devices, most patients discontinue use of such aids within 1 year after their rp. Because side effects of pro-erectile treatment have proved to be inadequate in explaining the gap between efficacy and ongoing use, current research focuses on a biopsychosocial perspective of ed. Unfortunately, there is a dearth of literature describing the components of a biopsychosocial program designed for the post-rp population and their partners.Results In this paper, we detail the development of the Prostate Cancer Rehabilitation Clinic (pcrc), which emphasizes multidisciplinary intervention teams, active participation by the partner, and a broad-spectrum medical, psychological, and interpersonal approach.Conclusions The goal of the pcrc is to help patients and their partners achieve optimal sexual health and couple intimacy after rp, and to help design cost-effective and beneficial rehabilitation programs.

scholarly journals Sexual Dysfunction Following Radical Prostatectomy

2012 ◽  
Vol 33 (6) ◽  
pp. 1143-1154 ◽  
Author(s):  
C. R. Benson ◽  
E. C. Serefoglu ◽  
W. J. G. Hellstrom
Keyword(s):  
Sexual Dysfunction ◽  
Radical Prostatectomy
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