“…Significant deterioration of general SXF over time before and after the treatment in VC patients was reported in 2 studies, assessed by self-designed nonvalidated questionnaire and the general sex life domain of the ePAQ-PF (Tables 2 and 3). 18,39 Furthermore, in one study, adjuvant inguinal RT was negatively associated with the ability to achieve orgasm (P = 0.01). 21 Factors associated with posttreatment sexual dysfunction included ILND, 27 older age 18,21,22,27 poor performance status, a history of depression, and preoperative psychosexual difficulties.…”