Sexual function and female radical cystectomy: a case series

Area of Science:

• Urology
• Gynecology
• Sexual Health

Background:

• Radical cystectomy significantly impacts female sexual function.
• Understanding post-treatment sexual health is crucial for patient well-being.

Purpose of the Study:

• To assess sexual function in women before and after radical cystectomy.
• To evaluate the impact of preoperative irradiation on sexual outcomes.

Main Methods:

• Qualitative interviews with 9 sexually active women.
• Assessment of sexual function, including dyspareunia and orgasm, pre- and post-surgery.
• Follow-up ranging from 6 to 37 months.

Main Results:

• Seven of nine women resumed sexual activity.
• Initial dyspareunia was common but overcome by most within months.
• No decrease in sexual pleasure or change in orgasmic stimulation was reported by most.

Conclusions:

• Radical cystectomy can allow for maintained sexual function and pleasure.
• Dyspareunia is a common but often temporary side effect.
• Findings support patient counseling on sexual health post-cystectomy.