Prostate Cancer Coverage from Every Angle

Erectile Dysfunction and Sexual Satisfaction After Robot-Assisted Radical Prostatectomy

By: Vanessa A. Carter, BS
Posted: Friday, March 26, 2021

A postoperative quality-of-life concern after robot-assisted radical prostatectomy for prostate cancer is preservation of erectile function. Leonore F. Albers, MD, of Leiden University Medical Centre, The Netherlands, and colleagues explored sexual satisfaction of patients with erectile dysfunction after robot-assisted radical prostatectomy. They found that sexual satisfaction remained consistent with patient reports at baseline, according to their findings published in The Journal of Sexual Medicine.

The researchers stated that “satisfaction with sexual life in men with erectile dysfunction due to robot-assisted radical prostatectomy may take a long time to improve. One could counsel patients that sexual satisfaction is based on individual baseline sexual satisfaction and the return of sexual desire after robot-assisted radical prostatectomy.”

The investigators reviewed data from 2,808 patients who underwent robot-assisted radical prostatectomy. Patients with unknown erectile dysfunction data or who had erectile dysfunction at baseline were excluded from this study, leaving 884 patients for analysis. Participants were administered the International Index of Erectile Function questionnaire at 6, 12, 24, and 36 months to determine their degree of erectile dysfunction, overall sexual life satisfaction, and sexual desire. The researchers compared the results of patients with and without erectile dysfunction after robot-assisted radical prostatectomy.

The overall satisfaction score (range 2–10) was 8.4. The mean overall satisfaction scores for patients with erectile dysfunction after robot-assisted radical prostatectomy at 6, 12, 24, and 36 months were 4.8, 4.8, 4.9, and 4.6, respectively. It was noted that the scores of these participants were significantly lower than patients without erectile dysfunction at every time point. Higher overall satisfaction score at baseline and higher sexual desire at 24 and 36 months correlated with sexual life satisfaction at 24 and 36 months, yet no association was found for erectile dysfunction.

Disclosure: The study authors reported no conflicts of interest.

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