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Sexual Function after Partial Penectomy: A Prospectively Study From China.

Cui Yu1, Chen Hequn1, Liu Longfei1

  • 1Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.

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|February 24, 2016
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Summary
This summary is machine-generated.

Partial penectomy for penile cancer significantly reduces sexual function. Factors like age and anxiety negatively impact sexual health, while penile length positively influences satisfaction post-surgery.

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Area of Science:

  • Urology
  • Oncology
  • Sexual Medicine

Background:

  • Penile carcinoma necessitates surgical intervention, often involving partial penectomy.
  • Assessing the impact of such procedures on patient quality of life, particularly sexual function, is crucial.

Purpose of the Study:

  • To evaluate sexual function following partial penectomy for penile cancer.
  • To identify factors influencing sexual function outcomes after this surgery.

Main Methods:

  • Prospective study of 43 penile carcinoma patients undergoing partial penectomy (January 2010 - May 2013).
  • Assessment of sexual function using the International Index of Erectile Function (IIEF-15), alongside age, body mass index, penile length (PL), and psychological factors (SAS, SDS scores).
  • Univariate and multivariate linear regression analyses were employed.

Main Results:

  • Postoperative sexual function (IIEF-15) and psychological scores (SAS, SDS) showed significant reductions compared to preoperative levels.
  • Age demonstrated a negative association with erectile function, sexual desire, and overall satisfaction.
  • Penile length (PL) was positively correlated with intercourse satisfaction, while anxiety (SAS) negatively impacted multiple sexual function domains.

Conclusions:

  • Partial penectomy for penile cancer leads to a significant decline in sexual function.
  • Patient age and anxiety levels are detrimental to sexual health outcomes, whereas increased penile length may improve intercourse satisfaction.