Maintenance of sexual activity following androgen deprivation in males

Duthie, Cassian J.; Calich, Hannah J.; Rapsey, Charlene; Wibowo, Erik

doi:10.1016/j.critrevonc.2020.103064

Cited by 9 publications

(2 citation statements)

References 108 publications

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“…Various management strategies are available for erectile dysfunction (Sherer and Levine, 2014;Elliott and Matthew, 2017;Salonia et al, 2017;Wassersug and Wibowo, 2017). Nevertheless, many men report feeling less manly due to erectile dysfunction following PCa treatment (Tsang et al, 2018b), and need to find new ways to be sexually intimate that are not erection-dependent (Gray et al, 2002;Wassersug et al, 2016;Duthie et al, 2020).…”

Section: Effects Of Primary Prostate Cancer Treatments On Body Imagementioning

confidence: 99%

The Psychosocial Consequences of Prostate Cancer Treatments on Body Image, Sexuality, and Relationships

et al. 2021

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Section: Effects Of Primary Prostate Cancer Treatments On Body Imagementioning

confidence: 99%

The Psychosocial Consequences of Prostate Cancer Treatments on Body Image, Sexuality, and Relationships

et al. 2021

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“…Long-term adherence rates for ED treatments are low, with close to 75% of patients ceasing use of these various erectile aids within the first year due to dissatisfaction and frustration. 11 Aside from these treatments, those experiencing ED have used other strategies to stay sexually active. 12 One option, as an alternative to ED treatments, which has not been formally investigated, is the use of an external penile prosthesis (EPP), more commonly known as a strap-on dildo.…”

Section: Introductionmentioning

confidence: 99%

Openness to Using an External Penile Prosthesis for Maintaining Sexual Intimacy by Individuals with Erectile Dysfunction: A Cross-Sectional Study

Duthie

Wibowo

et al. 2022

Sexual Medicine

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Introduction Erectile dysfunction (ED) can lead to reduced sexual intimacy in men. The external penile prosthesis (EPP) is a device to help them participate in penetrative sex. Aim We investigate factors that may affect the willingness of individuals with ED to try an EPP and explore how the EPP could be presented most effectively to such patients to enhance their willingness to try an EPP. Methods Recruitment for this cross-sectional study occurred in-person and online. 147 participants (60.0 ± 14.3 years old; all experiencing self-reported ED) completed a survey containing both validated measures and questions specific to this study. The survey was open to English-speakers over the age of 18 who self-reported experiencing ED. Main Outcome Measure The primary outcome was participants’ willingness to try an EPP based on their level of knowledge about using the EPP. Secondary outcomes included the influence of the sexual function, sexual distress, ED history, age, relationship duration, sexual flexibility on willingness to try an EPP. We also collected feedback from participants’ on how and where they would like to be introduced to the EPP option. Results Most participants indicated a preference for being introduced to the EPP after trying some ED treatments (51.0%). Participants did not have strong preference regarding the setting where they were informed about the EPP. The majority however preferred having a sexual health therapist/counsellor (28.6%) or physician (25.9%) as the person introducing the EPP to them. Participants’ willingness to try the EPP increased with more information about the EPP presented to them (P < .001). Personalization of the EPP to match one's own penis was preferred by 38.7% of participants. Referring to this aid as an ‘external penile prosthesis’ was significantly more preferred over alternative labels, such as a “belted prosthetic phallus” or “strap-on dildo” (Ps < .001 for both). Multiple regression analyses showed that only sexual script flexibility was associated with the initial willingness to try an EPP (P < .01). Clinical Implications Clinicians should consider presenting the EPP to men with ED, who desire maintaining penetrative sexual intercourse with their partners. Strength and Limitations This is the first study to explore factors influencing the willingness to try an EPP. Further research is needed to establish the efficacy of EPPs for maintaining sexual activity and satisfaction in the real-life setting. Conclusion This study informs clinicians about effective ways to introduce the EPP to patients with ED who wish to maintain insertive/receptive sex.

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