Quality of life after partial penectomy for penile carcinoma

D’Ancona, Carlos Arturo Levi; Botega, Neury José; Moraes, Camila de; Lavoura, Nivaldo da Silva; Santos, Jane Khater; Netto, Nelson Rodrígues

doi:10.1016/s0090-4295(97)00309-9

Cited by 97 publications

(45 citation statements)

References 7 publications

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“…D'Ancona and colleagues investigated the impact of partial penectomy on quality of life in a series of 14 penile cancer patients, reporting a satisfying quality of life in all patients and a preserved sexual function only in 64% of cases. 5 More recently, Romero and colleagues showed a statistically significant reduction of erectile function and sexual satisfaction after partial penectomy. This was attributed to the sensible reduction of penile size and glans removal, leading to an important feeling of shame about the penis.…”

Section: Discussionmentioning

confidence: 98%

“…3 Excellent oncological results can be achieved with radical approaches, in spite of a devastating impact on patient quality of life and sexual function. [4][5][6][7] Historically, the primary tumour has been surgically treated with demolitive technique, such as partial or total amputation. A standard 2-cm free margin was believed necessary to achieve excellent oncologic results.…”

Section: Introductionmentioning

confidence: 99%

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Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

Sedigh

Falcone

Ceruti

et al. 2015

CUAJ

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E423Cite as: Can Urol Assoc J 2015;9(7-8):E423-7. http://dx.doi.org/10.5489/cuaj.2801 Published online July 17, 2015. AbstractIntroduction: We compared the postoperative sexual function of patients who underwent wide local excision (WLE) and glansectomy with urethral glanduloplasty for penile cancer. Methods: We retrospectively reviewed clinical data of 41 patients affected by superficial, localized penile cancer (≤cT2a) between 2006 and 2013. Patients with severe erectile dysfunction and not interested in resuming an active sexual life were selected for penile partial amputation. Patients with preoperative satisfying erectile function and concerned about the preservation of their sexual potency were scheduled for WLE (Group A) or glansectomy with urethral glanduloplasty (Group B). Sexual function was assessed with the International Index of Erectile Function (IIEF) questionnaire and the Sex Encounter Profile (SEP). At 1 year, patients were asked to complete the questionnaires again and were questioned about their genital sensibility and ejaculatory reflex persistence. Postoperative complications were reported according to the Clavien-Dindo classification. Statistical analysis was performed by two-tailed test: Student t-test and chi-square. Results: Among the 41 patients enrolled, 12 underwent WLE (29.2%), 23 glansectomy with urethral glanduloplasty (56%) and 6 with penile partial amputation (14.6%). A decrease in postoperative IIEF was recorded in both groups, but was statistically significant only in Group B (p = 0.003). As for the SEP, while no significant changes were recorded postoperatively in Group A, a marked reduction was reported for Group B, with a statistically significant decrease in the possibility of achieving penetrative intercourse (p = 0.006) and in the perceived satisfaction during sexual activity (p = 0.004). Conclusions: WLE lead to better sexual outcomes and less postoperative complications as compared to glansectomy with urethral glanduloplasty.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

Sedigh

Falcone

Ceruti

et al. 2015

CUAJ

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“…Большинство пациентов после подобных опера-ций желают восстановить фаллос, так как его утеря ведет к снижению качества жизни [11,17,18]. Наи-более часто пациенты предъявляют жалобы на сек-суальную дисфункцию, нарушение мочеиспускания и косметический дефект [23].…”

Section: общие сведения о проблемеunclassified

Rare Clinical Case: Formation of Artificial Urether After Amputation of the Penis

Vorobev¹,

Белобородов²

2017

Acta Biomedica Scientifica

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ОБЩИЕ СВЕДЕНИЯ О ПРОБЛЕМЕАмпутация полового члена может быть выпол-нена по медицинским показаниям либо произойти вследствие полученной травмы. Травматическая ампутация является редким урологическим случаем (2-5 % всех травм мочеполовых органов у мужчин) [5,7]. Наиболее часто травматические повреждения полового члена, ампутирующие его или ведущие к ампутации, пациенты наносят себе сами. Реже встре-чаются производственные и насильственные травмы.Медицинским показанием для ампутации или резекции полового члена может быть его раковое поражение в запущенной стадии, тяжёлый гнойный процесс [2] или приапизм [20].Рак полового члена -заболевание редкое. В 2004 г. в России было выявлено 476 таких больных,

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“…There were 5 borderline studies (across 8 publications [11][12][13][14][15][16][17][18] ) from 4 countries (see Table 1). Each borderline study combined interviews with psychometric measures, and such research could potentially be included in a qualitative synthesis.…”

Section: Search Outcomementioning

confidence: 99%

“…In a Norwegian study [16,17] , the researchers took a psychometric measure for testicular cancer and adapted it for use as a structured interview about penile cancer. In the earliest Brazilian study [18] , the interview was used to "evaluate" the patients. In this study, the method of data analysis is absent from the publications, but it appears that content analysis may have been used to examine the data.…”

Section: Borderline Studiesmentioning

confidence: 99%

Clinical practice as research for a rare condition: systematic research review of qualitative research exploring patients’ experiences of penile cancer

Branney

Raine²,

Witty³

et al. 2013

Clinical Nursing Studies

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Background: Penile cancer is a rare but destructive malignancy. The aim of this study was to identify published qualitative research exploring patients' experiences of being diagnosed and treated for penile cancer. As only one study met our inclusion criteria and yet there were five borderline studies, a secondary aim that emerged was to discuss those studies to see what, if anything, we could learn. Methods:We searched ASSIA, CINAHL, EMBASE, PUBMED/MEDLINE, PsycINFO & Web of Science and found 313 papers published since 1990. Two reviewers independently selected 17 papers for potential inclusion using titles and abstracts, which were obtained and independently assessed. A synthesis was not possible as only one study met our inclusion criteria. Five borderline studies, covering 4 countries, invited closer inspection because they are often reported in guidelines on penile cancer. Results:The 5 borderline studies reported using a mixed methods design combining a psychometric measure with interviews. Unfortunately, none of these studies reported the method or process used for analysing qualitative data or for integrating the interview and psychometric findings, making it difficult to understand the interview element of their research. Conclusions:If we are to understand and improve the long-term consequences of treatment for penile cancer, qualitative studies of patients' experiences need to be conducted with high quality analysis and reporting. While pen-and-paper questionnaires may take up little of the time of clinicians conducting research about rare conditions, time could be better used by using methodologies that explore patients experiences.

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Quality of life after partial penectomy for penile carcinoma

Cited by 97 publications

References 7 publications

Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

Rare Clinical Case: Formation of Artificial Urether After Amputation of the Penis

Clinical practice as research for a rare condition: systematic research review of qualitative research exploring patients’ experiences of penile cancer

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