ORGASMIC FUNCTION AFTER RADICAL PROSTATECTOMY
https://doi.org/10.17650/1726-9776-2011-7-1-45-50
Abstract
Objective: to study orgasmic function (OF) in patients undergoing radical prostatectomy (RPE).
Subjects and methods. Seventy-nine patients who had undergone RPE for locally advanced prostate cancer without hormone and radiation therapies were examined. The patients’ mean age was 59.3 years. The mean EF-IIEF domain score was 24.4. OF was estimated by IIEF question 10 and the authors’ questionnaire. The Spearman rank correction coefficient and Mann-Whitney U-Wilcoxon tests were used.
Results. After RPE, there was a reduction in the mean IIEF question 10 score from 3.9 (confidence interval 3.7–4.1) to 3.3 (3–3.5) (p = 0.000). The following changes were found in orgasm intensity: no changes in 43 %, mild worsening in 42 %, severe worsening in 8 %, and enhancement in 4 %; orgasm could not be achieved in 4 % of the patients. Pain usually of low intensity was reported by 8.8 %. The poor factors for preserving OF were its low baseline level, elderly age, or severe post-RPE erectile dysfunction.
Conclusion. There were significant OF changes after RPE, which should be kept in mind while treating this category of patients.
About the Authors
D. Yu. Pushkar
Department of Urology, Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
L. G. Radnaev
Department of Urology, Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
E. A. Prilepskaya
Department of Urology, Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
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Review
For citations:
Pushkar D.Yu., Radnaev L.G., Prilepskaya E.A. ORGASMIC FUNCTION AFTER RADICAL PROSTATECTOMY. Cancer Urology. 2011;7(1):45-50. (In Russ.) https://doi.org/10.17650/1726-9776-2011-7-1-45-50
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