Ability to Reach Orgasm in Patients With Prostate Cancer Treated With Robot-assisted Laparoscopic Prostatectomy

Østby-Deglum, Marie; Axcrona, Karol; Brennhovd, Bjørn; Dahl, Alv A.

doi:10.1016/j.urology.2015.11.066

Cited by 9 publications

(9 citation statements)

References 25 publications

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“…A varied range of OD was reported between studies, but OD featured in RP and RT participants. Twothirds of men reported poor ability to orgasm at 3 years (19,20), and no orgasm by one-third of men at 2-5 years after an RP (22,23). Although OF improved postoperatively over time (23), it also deteriorated with age (19,(21)(22)(23).…”

Section: Prevalence Of Orgasmic Dysfunction After Rp/rtmentioning

confidence: 99%

“…Six studies met the inclusion criteria (5,(19)(20)(21)(22)(23). The 2017 study reported on 415 men with an average of 60 years, where a questionnaire had been used by participants to rate their orgasmic function (OF) on a scale.…”

Section: Prevalence Of Nsse (Objective A) Surgical Interventionsmentioning

confidence: 99%

“…A study by Ostby-Deglum et al (2016) reported on the ability to reach orgasm in men (n = 609 men) of an average age of 63 years, 3 years after their robotic-assisted laparoscopic prostatectomy (RALP). They reported poor ability to reach orgasm in 73% of the participants (20). Of the 27% of participants who were able to achieve orgasm after the procedure, 34% relied on erectile aids intermittently or always.…”

Section: Prevalence Of Nsse (Objective A) Surgical Interventionsmentioning

confidence: 99%

“…The two studies by A 2016 study used the EPIC-26 questionnaire that only included one item to obtain data pertaining to orgasmic function. The question asked, "How would you rate your ability to reach orgasm" (20). The study concluded that only 23% of participants had a good ability to reach orgasm after 3 years.…”

Section: Prevalence Of Penile Sensory Changes; Penile Deformity and Pmentioning

confidence: 99%

“…These two studies looked particularly and the prevalence and predicting factors of the NSSE. The Epic-26 (11) questionnaire featured in a few studies pertaining to OD (19)(20)(21), but couldn't su ciently be used to report on OD, and thus additional orgasm rating questions were asked to participants (19,21). One study used the Dysorgasmia Frequency Scale (25).…”

Section: Prevalence Of Penile Deformity/peyronies Disease After Rp/rtmentioning

confidence: 99%

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The Prevalence and the Use of the Questionnaire’s Related to the Neglected Sexual Side Effects After Prostate Cancer Treatment: A Scoping Review of the Literature

Röscher

Sathiram

Milios

et al. 2020

Preprint

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Background: Early prostate cancer (PCa) treatment interventions may leave men with debilitating sexual side effects. These side effects may remain permanent, often undiagnosed, and undermanaged. The objective of this study was to map the evidence pertaining to the prevalence, and use of questionnaires, related to the neglected sexual side effects (NSSE) after PCa treatment consisting of radical prostatectomy (RP) surgery or radiation treatment (RT).Methods: This systematic scoping review’s search strategy involved the search of PubMed, Science Direct, and Google Scholar databases. Following title searching, two-independent reviewers conducted screening of abstracts and full articles. The screenings were guided by the eligibility criteria. Data were extracted from the included studies and the emerging themes were analysed. The review team analysed the implications of the findings in relation to the research question and aims of the study. The Mixed Method Appraisal Tool was employed for quality appraisal of included studies.Discussion: Twenty-three studies about the prevalence and questionnaire use for NSSE after early PCa treatment were included. Two studies investigated most of the collective group of NSSE’s, and all the other studies mostly looked at a single NSSE. No single validated questionnaire was found that investigates the NSSE after early PCa treatment. Most studies incorporated some aspects of other questionnaires. Two studies used non-validated questionnaires that picked up on the majority of the collective group of NSSE.Conclusion: NSSEs are prevalent in men after RP and RT. Peyronie’s Disease, orgasmic Dysfunction and Penile Length Shortening are all similarly prevalent after RP and RT. Anejaculation was only found to be prevalent after RT*. Orgasm associated incontinence resulted from RP and RT, but the prevalence in RP patients was 6 times that of RT patients. Study participants felt inadequately informed about possible sexual side effects caused by their treatment choices. Questionnaires are effective at detecting NSSE after PCa treatment, but there is no valid and reliable questionnaire currently available to detect all the collective NSSE after PCa treatment. There is a scope to develop a validated and reliable PCa NSSE questionnaire. The NSSE questionnaire must be quick, straightforward, and effective.

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