Sexual function in the penile cancer survivor: a narrative review

Stroie, F.; Houlihan, Matthew; Köhler, Tobias

doi:10.21037/tau-20-1228

Cited by 10 publications

(5 citation statements)

References 39 publications

(58 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The treatment modalities of PEC depend on the area involved and include some organ-sparing treatments such as topical therapy, laser therapy, RT, glansectomy, wide-local excision, and partial penectomy. Total penectomy is reserved for cases with more advanced primary disease ( 32 ).…”

Section: Resultsmentioning

confidence: 99%

Changes in male sexuality after urologic cancer: a narrative review

et al. 2023

View full text Add to dashboard Cite

Objective To describe the most common sexual problems and changes experienced by male urological cancer survivors, focusing on evidence-based practices for assessment and intervention. Materials and Methods We search the PubMed, Embase, and SciELO databases between 1994 and 2022, using the following key words: “urological cancer”, “urological malignances”, “genitourinary cancer”, “male sexual health”, and “male sexual dysfunction”. Results This narrative review provides an overview of the current literature involving the impact of diagnosis and treatment of urological cancers on male sexual function. Male “genital” or “reproductive” tumors, such as prostate, penile, and testicular tumors, clearly appear to affect sexual function. However, tumors that do not involve genital parts of the body, such as the bladder and kidney, can also affect male sexual function. Conclusion Male sexual dysfunction is very common after urologic cancer diagnosis and treatment. Changes in body image and anatomical damage can be associated with impaired masculinity and sexual function, especially after prostate, penile or testicular cancer treatment. Moreover, anxiety, depression, and fear of recurrence have an impact on quality of life and sexual function regardless of the cancer location. Therefore, patients need be counseled about the likely changes in sexual function before treatment of any urological cancer.

show abstract

Section: Resultsmentioning

confidence: 99%

Changes in male sexuality after urologic cancer: a narrative review

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Changes in the QoL level of PC patients are driven to a significant extent by PC treatment modalities, and the burden of psychiatric symptoms increases with a more aggressive treatment approach [21]. This leads to alterations in sexual functioning as well as changes in patients' body image and perception of their sexuality [22][23][24][25]. In a study conducted by Opjordsmoen et al, some PC patients reported that if it was possible, they would rather choose to live shorter after treatment but with more preserved sexual function [26].…”

Section: Discussionmentioning

confidence: 99%

Comprehensive Evaluation of Quality of Life in Penile Cancer Patients following Surgical Treatment

Jovanović,

Aćimović,

Pejčić

et al. 2023

Healthcare

View full text Add to dashboard Cite

Background: Penile cancer (PC) is a highly aggressive disease, with a significant tendency for lymphatic spreading and subsequent development of distant metastases. The mutilating nature of PC surgical treatment has profound implications on the patient’s body integrity and self-image, sexual life and intimacy, voiding and mental health. The aim of our study was to comprehensively evaluate PC patients’ post-treatment quality of life (QoL), sexual activity, self-esteem, fatigue and fear of disease recurrence. (2) Methods: A cross-sectional study was conducted at the Clinic of Urology, University Clinical Centre of Serbia, and included 31 PC patients. Data were collected by means of a questionnaire. (3) Results: The average score on the Global health status scale was 67.2 out of 100 (ranging from 16.7 to 100), and the SD was 22.5. Hierarchical linear regression analysis showed that demographic characteristics, Hospital Anxiety and Depression scale (HADS) anxiety and depression scores, total Multidimensional Fatigue Inventory, Fear of cancer recurrence and Rosenberg scores and erectile function score explained a total of 78.2% of the variance in the global health status/QoL scale of PC patients. (4) Conclusions: Efforts should be made not only to increase the survival of PC patients after surgical treatment but also to enable the best possible level of QoL in the post-operative period.

show abstract

“…Finally, most studies relied upon the IIEF questionnaire to evaluate the pre- to post-partial penectomy change in sexual function. This questionnaire has been criticised because it does not provide information on sexual stimulation via non-penetrative means or self-stimulation [ 47 ], and provides limited information on psychosexual background and partner relationship [ 9 ]. Future studies using a range of questionnaires which capture different aspects of sexual function pre- and post-partial penectomy are therefore warranted.…”

Section: Discussionmentioning

confidence: 99%

Effects of partial penectomy for penile cancer on sexual function: A systematic review

et al. 2022

View full text Add to dashboard Cite

Penile cancer is a rare but debilitating condition, which often requires aggressive treatment. Partial penectomy is considered as a treatment option when a sufficient portion of the penile shaft can be maintained to preserve functionality. This systematic review, which followed the PRIMSA guidelines, aimed to evaluate the effects of partial penectomy for penile cancer on sexual function—the maintenance of which is often a priority in patient groups—and to identify potential factors which may moderate these effects. A systematic search of PubMed, The Cochrane Library, and Open Grey as well as MEDLINE, CINAHL and Open Dissertations via EBSCOhost was conducted from inception through to 24th March, 2022. Studies were required to include adults aged ≥18 years who had undergone partial penectomy for the treatment of penile cancer, with a quantitative measure of sexual function available pre- and post-surgery. Four eligible articles were identified for inclusion in this review, three of which reported a decrease in sexual function pre- to post-surgery across all domains of the International Index of Erectile Function (IIEF) questionnaire (erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall satisfaction). Conversely, one study reported an increase in sexual function across IIEF domains, except for orgasmic function, which decreased, pre- to post-surgery. Greater penile length was associated with higher post-operative sexual function, whilst increasing age and higher anxiety levels were associated with lower post-operative sexual function levels in one study. Despite the overall drop in sexual function, many patients were still able to maintain satisfactory sex lives following partial penectomy. Given the limited research in this area and small sample sizes across studies, additional well-controlled investigations are warranted to provide further evidence on the effects of partial penectomy for penile cancer on sexual function.

show abstract

Sexual function in the penile cancer survivor: a narrative review

Cited by 10 publications

References 39 publications

Changes in male sexuality after urologic cancer: a narrative review

Changes in male sexuality after urologic cancer: a narrative review

Comprehensive Evaluation of Quality of Life in Penile Cancer Patients following Surgical Treatment

Effects of partial penectomy for penile cancer on sexual function: A systematic review

Contact Info

Product

Resources

About