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Updated: May 25, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Pursuit of sexual function post-radical prostatectomy.
Lisa G Smyth1, Ivor M Cullen1, David M Quinlan1
1Department of Urology, St. Vincent's University Hospital, Dublin, Ireland.
Summary
Many men diagnosed with prostate cancer after screening experience erectile dysfunction (ED). While 80% received ED therapy prescriptions, less than 35% actively used them, indicating a gap in post-prostatectomy sexual health management.
Area of Science:
- Urology
- Sexual Health
- Oncology
Background:
- Prostate cancer screening may increase diagnoses in younger men.
- Erectile dysfunction (ED) is a common complication after radical prostatectomy (RP).
- Limited literature exists on ED prescribing and sexual activity post-RP.
Purpose of the Study:
- To assess the pursuit of sexual function in men post-radical prostatectomy.
- To evaluate ED therapy prescription use and its impact on lifestyle.
Main Methods:
- A detailed questionnaire was administered to patients who underwent radical retropublic prostatectomy (RRP).
- The survey aimed to ascertain the impact of ED on lifestyle and ED therapy prescription adherence.
Main Results:
- A 59% response rate was achieved, with most respondents aged 61-70.
- 50% of patients reported no or minimal sexual function problems.
- 80% were prescribed ED therapy, but only 34% used it in the last 4 weeks.
Conclusions:
- Sexual frequency was highest in younger patients, 3+ years post-surgery.
- 46% of men declined ED therapy or did not use their prescription.
- Despite reporting minimal issues, a significant portion of men do not utilize prescribed ED treatments.
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