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Survivorship: sexual dysfunction (male), version 1.2013.

Crystal S Denlinger, Robert W Carlson, Madhuri Are

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    Cancer treatments can cause erectile dysfunction (ED) in survivors. These NCCN guidelines offer recommendations for screening, evaluating, and treating male sexual problems like ED after cancer.

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    Area of Science:

    • Oncology
    • Urology
    • Mens Health

    Background:

    • Anticancer treatments, particularly pelvic therapies, can impair penile blood circulation and autonomic nerve function.
    • Hormonal therapy, depression, and anxiety are additional factors contributing to sexual dysfunction in cancer survivors.
    • Erectile dysfunction (ED) rates are higher in cancer survivors compared to the general population.

    Purpose of the Study:

    • To provide screening, evaluation, and treatment recommendations for male sexual problems, specifically erectile dysfunction, in cancer survivors.
    • To address the significant impact of cancer and its treatments on male sexual health.
    • To offer guidance based on the NCCN Guidelines for Survivorship.

    Main Methods:

    • Review of existing literature and clinical data on cancer treatments and their effects on sexual function.
    • Development of evidence-based guidelines for managing ED in male cancer survivors.
    • Integration of psychological and hormonal factors into the assessment and treatment protocols.

    Main Results:

    • Identification of specific anticancer treatments associated with increased risk of ED.
    • Establishment of protocols for early screening and comprehensive evaluation of ED in survivors.
    • Outline of various treatment options for ED, considering the unique context of cancer survivorship.

    Conclusions:

    • Erectile dysfunction is a prevalent and significant issue for male cancer survivors.
    • Systematic screening, thorough evaluation, and tailored treatment are crucial for managing ED in this population.
    • Adherence to NCCN survivorship guidelines can improve outcomes for sexual health in cancer survivors.