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Updated: Nov 30, 2025
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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[Evaluation of orgasmic function in patients after radical prostatectomy]
R A Veliev1, E I Veliev1,2, E A Sokolov1,2
1FGBOU DPO RMANPO Moscow, Russia.
Urologiia (Moscow, Russia : 1999)
|November 13, 2020
Summary
Radical prostatectomy (RP) for localized prostate cancer can preserve orgasmic function (OF) in over half of patients. Younger age and nerve-sparing surgery (NSS) positively influence OF recovery after RP.
Area of Science:
- Urology
- Oncology
- Sexual Medicine
Background:
- Radical prostatectomy (RP) is a primary treatment for localized prostate cancer.
- Restoration of satisfactory functional outcomes, especially sexual function like orgasmic function (OF), is crucial post-RP for patients and partners.
Purpose of the Study:
- To analyze the functional recovery of orgasmic function (OF) at 3 and 6 months after radical prostatectomy (RP).
- To evaluate the impact of surgical approach, including nerve-sparing surgery (NSS), on OF recovery post-RP.
Main Methods:
- Analysis of functional results in 91 patients undergoing RP for prostate cancer.
- Assessment of orgasmic function (OF) recovery at 3 and 6 months post-surgery.
- Evaluation of factors influencing OF recovery, such as age and nerve-sparing surgery (NSS).
Main Results:
- Orgasmic function (OF) recovery was observed in 53.8% of patients at 3 months and 56% at 6 months post-RP.
- Younger patient age was associated with a positive influence on OF recovery.
- Nerve-sparing surgery (NSS) demonstrated a positive impact on orgasmic function (OF) recovery.
Conclusions:
- Orgasmic function (OF) recovery is achieved in over half of patients following radical prostatectomy (RP).
- Younger age and nerve-sparing surgery (NSS) are identified as predictors for improved OF recovery.
- Further research is needed to identify additional factors influencing OF recovery after RP.
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