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Sexual function and satisfaction in men after laser treatment for penile carcinoma
T Windahl1, E Skeppner, S-O Andersson
1Department of Urology, University Hospital, Orebro, Sweden. torgny.windahl@orebroll.se
Purpose:
We evaluate sexual function, sexual satisfaction and cosmetic results after laser treatment of penile carcinoma.
Materials And Methods:
A total of 67 patients were treated at our clinic for penile cancer using combined carbon dioxide and neodymium:YAG lasers from 1986 to 2000. At the time of this study 58 men, with a mean age of 64 years were alive, of whom 46 (79%) agreed to participate in a structured face-to-face interview addressing sexual function, sexual satisfaction and cosmetic results. The length of time that had elapsed since treatment ranged from 6 months to 15 years (median 3 years).
Results:
Of 40 patients (87%) who had been sexually active before treatment 30 (75%) had resumed activities at the time of the interview. Unaltered erectile function after treatment was reported by 33 patients (72%), 10 patients (22%) reported decreased function and 3 (6%) reported improved function. Of the 46 patients 23 (50%) were satisfied/very satisfied with their sexual life. After treatment only 3 of 30 (10%) of the evaluable men had dyspareunia. The cosmetic results were considered satisfying/very satisfying by 36 (78%) men.
Conclusions:
Laser treatment of localized penile carcinoma preserves the penis and generally provides satisfactory sexual function and cosmetic results.
