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Informing patients about the negative effect of nephrectomy on sexual function

Rikke S Christiansen1, Nessn Azawi1,2, Astrid Højgaard3

  • 1Department of Urology, Odense University Hospital, Odense, Denmark.

Turkish Journal of Urology
|January 7, 2020
PubMed
Abstract

Insights

Kidney cancer surgery significantly impacts sexual function, with most patients experiencing problems post-operation. Few patients received information about these effects, highlighting a need for pre-surgery counseling and further research.

Area of Science:

  • Urology
  • Oncology
  • Sexual Health

Background:

  • Quality of life is crucial for cancer patients.
  • Sexual function is often overlooked in kidney cancer survivorship.
  • Nephrectomy impacts patients' sexual well-being.

Purpose of the Study:

  • To investigate the effect of nephrectomy on sexual function in kidney cancer patients.
  • To assess the information provided to patients regarding sexual health post-surgery.

Main Methods:

  • Retrospective study of 310 kidney cancer patients undergoing nephrectomy or nephro-ureterectomy.
  • Validated questionnaires and semi-structured interviews used for data collection.
  • 154 patients responded to the survey.

Main Results:

  • Significant increase in sexual relationship problems after surgery (P<0.0001).
  • Only 5% of patients were informed about potential sexual side effects.
  • 54.7% of sexually active males reported erectile dysfunction.

Conclusions:

  • Kidney cancer surgery negatively affects sexual function.
  • There is a critical need for pre-operative sexual health counseling.
  • Further research is needed to understand the full scope of sexual dysfunction post-nephrectomy.

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