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Orgasmic Function after Radical Prostatectomy.

Kefu Du1, Chong Zhang2, Angela P Presson2

  • 1Division of Urology, University of Utah, Salt Lake City, Utah.

The Journal of Urology
|March 22, 2017
PubMed
Summary
This summary is machine-generated.

Post-prostatectomy orgasmic function recovery takes time, with most men experiencing stable or improved function. Key predictors include younger age, nerve-sparing surgery, and good erectile function and sexual desire.

Keywords:
orgasmprostateprostatectomyprostatic neoplasmsquality of life

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Area of Science:

  • Urology
  • Sexual Medicine
  • Oncology

Background:

  • Radical prostatectomy can impact post-surgical quality of life, including sexual function.
  • Orgasmic function is a key component of sexual health following treatment for prostate cancer.

Purpose of the Study:

  • To examine changes in orgasmic function after radical prostatectomy.
  • To identify predictors of orgasmic function outcomes in this patient population.

Main Methods:

  • Prospective data collection from 499 men undergoing radical prostatectomy between 2005 and 2013.
  • Mixed effects logistic regression models were used to analyze longitudinal quality of life questionnaire data.

Main Results:

  • At 36 months median follow-up, 60.1% had worse, 30.5% stable, and 9.4% improved orgasmic function.
  • Recovery plateaued between 15-21 months.
  • Predictors of better orgasmic function included younger age, nerve-sparing surgical techniques, preserved erectile function, and higher sexual desire. Lower urinary tract symptoms and incontinence were negatively associated.

Conclusions:

  • Orgasmic function recovery after radical prostatectomy is a prolonged process.
  • Preoperative orgasmic function, age, nerve-sparing status, erectile function, sexual desire, and urinary continence are significant predictors.