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Improvement in sexual function after robot-assisted radical prostatectomy: A rehabilitation program with involvement of a clinical sexologist.

Ljunggren C, Ströberg P - Cent European J Urol (2015)

Bottom Line: Twelve months after dVRP, seventeen patients in the reference group (61%) were sexually active with regular penetrating sexual activity compared to sixty-six (84%) in the study group (p = 0.02).These findings were independent of whether they had undergone a nerve sparing or non-nerve sparing procedure.Almost 94% (74 patients) in the study group had at some time been able to perform penetrating sexual activity; 14 patients required additional visits to the clinical sexologist beyond the routine follow-up, 9 for short-term cognitive behavior therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Länssjukuset Ryhov, Jönköping, Sweden.

ABSTRACT

Introduction: To prospectively evaluate if the inclusion of a clinical sexologist in a penile and sexual rehabilitation program improves sexual function one year after prostate cancer surgery.

Material and methods: Twelve months after da Vinci Radical Prostatectomy (dVRP) for prostate cancer, 28 fully potent (IIEF-5 >21) and sexually active men (ages 47-69 years, mean 61) who, in 2008, were enrolled in a prospectively monitored penile rehabilitation program (reference group) were compared with 79 fully potent (IIEF-5 >21) and sexually active men (ages 45-74 years, mean 61) enrolled in 2009 (study group); whose program differed by the inclusion of evaluation and treatment by a clinical sexologist.

Results: Twelve months after dVRP, seventeen patients in the reference group (61%) were sexually active with regular penetrating sexual activity compared to sixty-six (84%) in the study group (p = 0.02). These findings were independent of whether they had undergone a nerve sparing or non-nerve sparing procedure. Almost 94% (74 patients) in the study group had at some time been able to perform penetrating sexual activity; 14 patients required additional visits to the clinical sexologist beyond the routine follow-up, 9 for short-term cognitive behavior therapy.

Conclusions: Inclusion of a clinical sexologist in a penile and sexual rehabilitation program appears to improve the ability to have regular sexual activity with penetrating sex one year after da Vinci Robotic Radical Prostatectomy.

No MeSH data available.


Related in: MedlinePlus

Study flow chart.
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Figure 0001: Study flow chart.

Mentions: All patients with an EHS grade <3 at the time of the first follow-up visit were qualified for and received ED treatment (options B-E) according to patient preference. Patients with EHS 3 were recommended to initiate ED treatment with PDE-5 inhibitors daily or on demand according to patients’ preference (option B) and patients with an EHS grade 4 qualified to option A – no treatment. The patients were then followed up at 3, 6 and 12 months. Adjustments to the treatment were done, when needed, according to the outcome of the treatment and, to some degree, the patients’ preference (Figure 1).


Improvement in sexual function after robot-assisted radical prostatectomy: A rehabilitation program with involvement of a clinical sexologist.

Ljunggren C, Ströberg P - Cent European J Urol (2015)

Study flow chart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4526602&req=5

Figure 0001: Study flow chart.
Mentions: All patients with an EHS grade <3 at the time of the first follow-up visit were qualified for and received ED treatment (options B-E) according to patient preference. Patients with EHS 3 were recommended to initiate ED treatment with PDE-5 inhibitors daily or on demand according to patients’ preference (option B) and patients with an EHS grade 4 qualified to option A – no treatment. The patients were then followed up at 3, 6 and 12 months. Adjustments to the treatment were done, when needed, according to the outcome of the treatment and, to some degree, the patients’ preference (Figure 1).

Bottom Line: Twelve months after dVRP, seventeen patients in the reference group (61%) were sexually active with regular penetrating sexual activity compared to sixty-six (84%) in the study group (p = 0.02).These findings were independent of whether they had undergone a nerve sparing or non-nerve sparing procedure.Almost 94% (74 patients) in the study group had at some time been able to perform penetrating sexual activity; 14 patients required additional visits to the clinical sexologist beyond the routine follow-up, 9 for short-term cognitive behavior therapy.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Länssjukuset Ryhov, Jönköping, Sweden.

ABSTRACT

Introduction: To prospectively evaluate if the inclusion of a clinical sexologist in a penile and sexual rehabilitation program improves sexual function one year after prostate cancer surgery.

Material and methods: Twelve months after da Vinci Radical Prostatectomy (dVRP) for prostate cancer, 28 fully potent (IIEF-5 >21) and sexually active men (ages 47-69 years, mean 61) who, in 2008, were enrolled in a prospectively monitored penile rehabilitation program (reference group) were compared with 79 fully potent (IIEF-5 >21) and sexually active men (ages 45-74 years, mean 61) enrolled in 2009 (study group); whose program differed by the inclusion of evaluation and treatment by a clinical sexologist.

Results: Twelve months after dVRP, seventeen patients in the reference group (61%) were sexually active with regular penetrating sexual activity compared to sixty-six (84%) in the study group (p = 0.02). These findings were independent of whether they had undergone a nerve sparing or non-nerve sparing procedure. Almost 94% (74 patients) in the study group had at some time been able to perform penetrating sexual activity; 14 patients required additional visits to the clinical sexologist beyond the routine follow-up, 9 for short-term cognitive behavior therapy.

Conclusions: Inclusion of a clinical sexologist in a penile and sexual rehabilitation program appears to improve the ability to have regular sexual activity with penetrating sex one year after da Vinci Robotic Radical Prostatectomy.

No MeSH data available.


Related in: MedlinePlus