Sexual Dysfunction Following Radical Prostatectomy

Benson, Cooper; Şerefoğlu, Ege Can

doi:10.2164/jandrol.112.016790

Cited by 28 publications

(25 citation statements)

References 130 publications

(225 reference statements)

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“…Although multiple studies have evaluated the association and treatment of concomitant prostate cancer and ED, few publications have examined other aspects of SD, including decreased libido, ejaculatory dysfunction (EjD) and orgasmic dysfunction (Benson et al, 2012). Compared with the more commonly studied ED, these other subtypes of SD are equally prevalent and bothersome (Rosen et al, 2003;Vallancien et al, 2003;Li et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

The pre-treatment prevalence and types of sexual dysfunction among patients diagnosed with prostate cancer

Saitz

Şerefoğlu²,

Trost

et al. 2013

Andrology

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SUMMARYErectile dysfunction (ED) following prostate cancer therapy is a common condition that is well documented in literature. Despite the significant focus placed on ED and prostate cancer, very little is known regarding the baseline prevalence of other aspects of sexual dysfunction (SD) in this specific cohort of patients. The objective of the current manuscript was to assess the prevalence of subtypes of SD, including ED, ejaculatory dysfunction (EjD) and decreased libido among men with newly diagnosed prostate cancer. To achieve this objective, patients presenting to our clinic with a new diagnosis of prostate cancer from July 2011 and May 2012 completed the Male Sexual Health Questionnaire (MSHQ) to assess baseline sexual function. A total of 60 patients completed an MSHQ, with a mean age of 60.28 AE 6.25 (range 44-73 years). Of patients surveyed, 14% reported no sexual activity within the previous month, while 53% had sex at least once weekly. The percentage of patients reporting ED, EjD and decreased sexual desire ≥50% of the time was 37, 26 and 48% respectively. Eleven to 18% of patients reported that these symptoms were 'very' or 'extremely' bothersome. Patients noted dissatisfaction with the quality of their sexual relationship, frequency of sexual activity and quality of sex in 18, 31 and 20%, respectively. Overall findings suggest that patients with newly diagnosed prostate cancer experience a high rate of SD at baseline. Knowledge of these prevalence rates may assist physicians managing patient's expectations with planned therapies.

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Section: Introductionmentioning

confidence: 99%

The pre-treatment prevalence and types of sexual dysfunction among patients diagnosed with prostate cancer

Saitz

Şerefoğlu²,

Trost

et al. 2013

Andrology

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“…Although nearly all men treated surgically for early-stage prostate cancer can enjoy long term survival (Siegel et al, 2012), the sexual treatment side-effects persist (Benson, Serefoglu, & Hellstrom, 2012). Patients’ and their partners’ distress about men’s erectile dysfunction following radical prostatectomy (RP) has been well documented (Couper, Bloch, Love, Duchesne, et al, 2006; Couper, Bloch, Love, Macvean, et al, 2006; Garos, Kluck, & Aronoff, 2007; Hedestig, Sandman, Tomic, & Widmark, 2005; Katz, 2007).…”

Section: Introductionmentioning

confidence: 99%

A Pilot Study of Potential Pre-Operative Barriers to Couples’ Sexual Recovery After Radical Prostatectomy for Prostate Cancer

Wittmann

Northouse

Crossley

et al. 2014

Journal of Sex & Marital Therapy

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Objective Prostate cancer affects couples’ sexual intimacy, but men rarely use recommended pro-erectile aids. Our mixed methods study aimed to identify couples’ pre-prostatectomy barriers to sexual recovery. Methods Interviews about anticipated sexual recovery were paired with surveys: the Dyadic Assessment Scale, Protective Buffering Scale, Expanded Prostate Index Composite, Sexual Experience Questionnaire (men), Female Sexual Function Index. Barriers were derived using Grounded Theory. Quantitative data triangulated qualitative findings. Results Heterosexual couples (28) participated. Men were 62, partners 58 years old on average. Pre-existing and diagnosis-related barriers included aging-related sexual dysfunction, inadequate sexual problemsolving skills, stressors, worry, avoidance of planning for sexual recovery, dislike of ‘assisted’ sex. Participants endorsed moderate/high marital satisfaction (Mean DAS: men=110.0, SD ±11.4, partners=114.1, SD±12.1) and communication (Mean PBS: men=24.5.2, SD±6.1, partners=25.1, SD±6.2). Men reported mild ED and incontinence (Mean EPIC: 76.6, SD±.21.5; 88.4, SD±18.2, respectively). Men’s couple sexual satisfaction was lowest (Mean SEX-Q: 60.1, SD±26.9). Mean Total FSFI was low (21.6, SD±7.8). Conclusions Heterosexual couples face prostatectomy-related sexual side-effects having experienced developmental sexual losses. Couples use avoidant strategies to defend against worry about cancer and anticipated prostatectomy-related sexual changes. These barriers are modifiable if couples can learn to cope with sexual losses and accept sexual rehabilitation strategies.

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“…However, the risks of surgery are known to include erectile dysfunction [3] even when nerve-sparing approaches are used [4]. Long-lasting sexual and urinary difficulties are the most common and troubling side-effects following radical prostatectomy [5] alongside loss of libido, ejaculatory dysfunction, orgasmic dysfunction and penile shortening [6]. Even at 24 months post-operatively, most men have not returned to their baseline measure of sexual function prior to surgery [7].…”

Section: Introductionmentioning

confidence: 99%

Exploring the feasibility and acceptability of couple-based psychosexual support following prostate cancer surgery: study protocol for a pilot randomised controlled trial

Robertson

Molloy

Bollina

et al. 2014

Trials

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Background: Men who undergo surgery for prostate cancer frequently experience significant side-effects including urinary and sexual dysfunction. These difficulties can lead to anxiety, depression and reduced quality of life. Many partners also experience psychological distress. An additional impact can be on the couple relationship, with changes to intimacy, and unmet psychosexual supportive needs in relation to sexual recovery and rehabilitation. The aim of this exploratory randomised controlled trial pilot study is to determine the feasibility and acceptability of a novel family-relational-psychosexual intervention to support intimacy and reduce distress among couples following prostate cancer surgery and to estimate the efficacy of this intervention. Methods/Design: The intervention will comprise six sessions of psychosexual and relationship support delivered by experienced couple-support practitioners. Specialist training in delivering the intervention will be provided to practitioners and they will be guided by a detailed treatment manual based on systemic principles. Sixty-eight couples will be randomised to receive either the intervention or standard care (comprising usual follow-up hospital appointments). A pre-test, post-test design will be used to test the feasibility of the intervention (baseline, end of intervention and six-month follow-up) and its acceptability to couples and healthcare professionals (qualitative interviews). Both individual and relational outcome measures will assess sexual functioning, anxiety and depression, couple relationship, use of health services and erectile dysfunction medication/technologies. An economic analysis will estimate population costs of the intervention, compared to usual care, using simple modelling to evaluate the affordability of the intervention.

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Sexual Dysfunction Following Radical Prostatectomy

Cited by 28 publications

References 130 publications

The pre-treatment prevalence and types of sexual dysfunction among patients diagnosed with prostate cancer

The pre-treatment prevalence and types of sexual dysfunction among patients diagnosed with prostate cancer

A Pilot Study of Potential Pre-Operative Barriers to Couples’ Sexual Recovery After Radical Prostatectomy for Prostate Cancer

Exploring the feasibility and acceptability of couple-based psychosexual support following prostate cancer surgery: study protocol for a pilot randomised controlled trial

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