Τίτλος:
Radical Prostatectomy, Sparing of the Seminal Vesicles, and Painful
Orgasm
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Introduction Erectile dysfunction has been widely investigated as the
major factor responsible for sexual bother in patients after radical
prostatectomy (RP); painful orgasm (PO) is one element of this bother,
but little is known about its prevalence and its effects on sexual
health. Aim This study aims to investigate the prevalence of PO and to
identify potential risk factors. Main Outcome Measures A total of 1,411
consecutive patients underwent open (radical retropubic prostatectomy)
or robot-assisted laparoscopic RP between 2002 and 2006. The patients
were asked to complete a study-specific questionnaire. Methods Of a
total of 145 questions, 5 dealt with the orgasmic characteristics. The
questionnaire was also administered to a comparison group of 442
persons, matched for age and area of residency. Results The response
rate was 91% (1,288 patients). A total of 143 (11%) patients reported
PO. Among the 834 men being able to have an orgasm, the prevalence was
18% vs. 6% in the comparison group (relative risk [RR] 2.8, 95%
confidence interval [CI] 1.74.5). When analyzed as independent
variables, bilateral seminal vesicle (SV)-sparing approach (RR 2.33,
95% CI 1.05.3, P=0.045) and age <60 years were significantly related to
the presence of PO (95% CI 0.50.9, P=0.019). After adjustment for age,
bilateral SV-sparing still remained a significant predictor for
occurrence of PO. Conclusions We found that PO occurs significantly more
often in patients undergoing bilateral SV-sparing RP when compared with
age-matched comparison population.
Συγγραφείς:
Mogorovich, Andrea
Nilsson, Andreas E.
Tyritzis, Stavros I. and
Carlsson, Stefan
Jonsson, Martin
Haendler, Leif
Nyberg,
Tommy
Steineck, Gunnar
Wiklund, N. Peter
Περιοδικό:
The Journal of Sexual Medicine
Εκδότης:
Elsevier Sci Ltd, Exeter, United Kingdom
Λέξεις-κλειδιά:
Robot-Assisted; Radical Prostatectomy; Prostate Cancer; Sexual
Dysfunction; Painful Orgasm; Dysorgasmia; Seminal Vesicles;
Post-Prostatectomy Orgasmic Dysfunction
