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Related Experiment Videos

Sexual function following radical radiotherapy for bladder cancer.

F A Little1, G C Howard

  • 1Department of Clinical Oncology, Western General Hospital, Edinburgh, UK.

Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology
|March 3, 1999
PubMed
Summary

Radical radiotherapy for bladder cancer significantly impacts male sexual function, leading to decreased libido, erectile quality, and overall sexual activity. Many patients experience a worse sex life post-treatment.

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Area of Science:

  • Urology
  • Oncology
  • Sexual Medicine

Background:

  • The impact of radical radiotherapy (RT) on male sexual function after bladder cancer treatment remains largely uninvestigated.
  • This pilot study addresses this gap by assessing sexual function changes in males undergoing RT for bladder cancer.

Purpose of the Study:

  • To evaluate the effects of radical radiotherapy on various domains of male sexual function.
  • To serve as a pilot study for future investigations into sexual health outcomes following bladder cancer treatment.

Main Methods:

  • An anonymous questionnaire assessed libido, frequency of sexual function, erectile capacity, orgasm, and ejaculation before and after RT.
  • Hormonal levels (serum testosterone, FSH, LH) were measured in a subset of patients.

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Main Results:

  • Over half of the patients reported a decline in erection quality, libido, and sexual activity frequency post-RT.
  • Three patients lost erectile capacity entirely; others reported reduced erection frequency, ejaculation frequency, and orgasm intensity.
  • While 71% felt their sex life worsened, only 56% expressed concern.

Conclusions:

  • Radical radiotherapy for bladder cancer can lead to a significant decrease in male sexual function.
  • The findings highlight the need for addressing sexual health concerns in bladder cancer survivors.