Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press9610.17650/1726-9776-2011-7-1-45-50PROSTATE CANCERРАК ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫORGASMIC FUNCTION AFTER RADICAL PROSTATECTOMYСОСТОЯНИЕ ОРГАЗМИЧЕСКОЙ ФУНКЦИИ ПОСЛЕ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИPushkarD. Yu.ПушкарьД. Ю.
Russian Federation
lev-radnaev@yandex.ruRadnaevL. G.РаднаевЛ. Г.
Russian Federation

Кафедра урологии

lev-radnaev@yandex.ruPrilepskayaE. A.ПрилепскаяЕ. А.
Russian Federation
lev-radnaev@yandex.ruDepartment of Urology, Moscow State University of Medicine and DentistryМГМСУ300320117145502707201427072014https://oncourology.abvpress.ru/oncur/article/view/96

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.

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