[Sexual disorders after radical prostatectomy and their treatment. Psychological aspects]

Forty-one men who had undergone radical prostatectomy and their wives were interviewed in order to evaluate the erectile disorders encountered after this operation and to facilitate therapeutic impact. Twenty-three of the women stated they were satisfied with their sexual intercourse before the operation and among them, 16 (70%) stated they were unsatisfied after their husband's operation. Among these 16 couples, 10 accepted sexual counselling which led to satisfaction with sexual intercourse in 8 couples. Sexual counselling was the only therapy needed in 1 couple, 4 men received intracavernous injections and 3 used a vacuum system. These results, as well as the impact of integrating the sexual partner in the treatment protocol for erectile impairment were discussed.