[Evaluation of sexual dysfunction in prostate cancer management]

Prostate cancer patients sexual management and information must evaluate prediagnosis sexual life and impact of cancer on sexuality. Discovery of a pre-existent erectile dysfunction is frequent and must lead to a standard evaluation, involving nature, severity, risks factors (metabolic, cardiovascular and drugs) using a patient and couple centered approach. Advice from an other specialist (sexologist, cardiologist...) can be necessary before to prescribe a drug. Postoperative management of induced sexual dysfunction must be explained and decided according to the patient and couple wishes.