Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

Sedigh, O.; Falcone, Marco; Ceruti, C.; Timpano, M.; Preto, Mirko; Oderda, Marco; Kuehhas, Franklin E.; Sibona, M.; Gillo, Arianna; Gontero, Paolo; Rolle, Luigi; Frea, Bruno

doi:10.5489/cuaj.2801

Cited by 35 publications

(36 citation statements)

References 22 publications

(37 reference statements)

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“…Though psychosexual adjustment problems were reported by the patients in these studies (ranging from 6 to 35 %), no such problems were reported by our patients [5,[10][11][12]. Kieffer JM et al [14] and Sedigh O et al [13] have studied the effect of partial penectomy on sexual function in patients with carcinoma penis. They have reported very little impact of surgery on sexual desire, interest as well as arousal.…”

Section: Discussionmentioning

confidence: 65%

Sexuality in Surgically Treated Carcinoma Penis Patients and Their Partners

Bhat¹,

Nelivigi²,

Barude

et al. 2016

Indian J Surg

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Most common treatment offered to carcinoma penis patients is surgery. This results in not only mutilation of the genitals but also affects their sexuality. The treating physician fails to address the issue due to the paucity of the data in this regard. Hence, we decided to evaluate sexuality in these patients after surgical treatment for penile cancer. Most of the times, their partners also face problems of sex and sexuality, regarding which there is no literature. Hence, we decided to include their partners also in the study. We retrieved records of the patients who underwent surgical treatment for carcinoma penis at our institute. After obtaining ethical committee approval, they were invited along with their partners for personal interview. After obtaining written informed consent from each of them, they were administered sexual functioning questionnaire (SFQ). Sexuality was evaluated based on the scores obtained. Performance anxiety was reported by majority of these patients. Their sexual interest, arousal and desire remained almost intact with reduction in satisfaction more so in total penectomised patients. Though the partners had accepted the global reduction in sexuality as their fate, their interpersonal relationship remained little disturbed. The study reveals that sexuality is more than the sexual intercourse alone. Proper pre-operative counselling of these patients and their partners by the treating urologist helps better post-treatment adjustment with regards to sexuality in these patients as well as their partners.

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Section: Discussionmentioning

confidence: 65%

Sexuality in Surgically Treated Carcinoma Penis Patients and Their Partners

Bhat¹,

Nelivigi²,

Barude

et al. 2016

Indian J Surg

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“…Various studies evaluating sexual and urinary dysfunction after penile-preserving surgery using different questionnaires (e.g. International Index of Erectile Function questionnaire; IIEF) [28] confirmed excellent overall urinary function and quality of life [16,26,29]. Patients with (partial) penectomy reported more sexual and urinary problems than those treated with OSS [23,30].…”

Section: Discussionmentioning

confidence: 99%

Organ-sparing surgery of penile cancer: higher rate of local recurrence yet no impact on overall survival

et al. 2019

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Purpose To report on the oncological outcome of organ-sparing surgery (OSS) compared to (total or partial) penectomy regarding recurrence patterns and survival in squamous cell carcinoma (SCC) of the penis. Methods This was a retrospective study of all patients with penile SCC and eligible follow-up data of at least 2 years at our institution. Patients with tumors staged ≥ pT1G2 underwent invasive lymph node (LN) staging by dynamic sentinel-node biopsy or modified inguinal lymphadenectomy. Radical inguinal lymphadenectomy was performed when LNs were palpable at diagnosis and in those with a positive LN status after invasive nodal staging. Follow-up visits were assessed, and local, regional and distant recurrences were defined and analyzed. Results 55 patients were identified with a mean follow-up of 63.7 months. Surgical management was OSS in 26 patients (47.2%) and partial or total penectomy in 29 cases (52.8%). Histopathological staging was: pTis (12.7%), pTa (16.3%), pT1a (18.2%), pT1b (5.5%), pT2 (29.1%) and pT3 (18.2%), respectively. Patients in the penectomy group were significantly older (mean 68 vs. 62 years; p = 0.026) with a higher rate of advanced tumor stage (≥ pT2: 44.8% vs. 11.5%; p = 0.002). The local recurrence rate was 42.3% (n = 11) following OSS compared to 10.3% (n = 3) after penectomy (p = 0.007). Kaplan-Meier curves showed no significant differences between the two groups regarding metastasis-free and overall survival. Conclusions OSS is associated with a higher local recurrence rate compared to penectomy, yet it has no negative impact on overall and metastasis-free survival.

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“…Total glansectomy first described by Austoni in 1996 [40] is indicated in lesions which are localized but are not amenable to partial glansectomy or are T2 lesions. If the tumor invades tunica albuginea and/or corpora cavernosa, then total glansectomy was performed followed by either splitthickness skin graft reconstruction or reconstruction of cavernosal tips and grafting, if a distal corporectomy was required.…”

Section: Glansectomymentioning

confidence: 99%

“…Omid Sedigh et al looked into the sexual function after surgical treatment for penile cancer and found that wide local excision lead to better sexual outcomes and less postoperative complications as compared to glansectomy with urethral glanduloplasty hence when feasible; wide local excision could represent the best conservative approach to treat localized primary penile cancer [40].…”

Section: Wide Local Excisionmentioning

confidence: 99%

Organ Preservation Surgery for Carcinoma Penis

Yuvaraja

Waigankar

Dharmadhikari

et al. 2016

Indian J Surg Oncol

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Carcinoma of the penis is not uncommon in India. A sizeable number of patients do not report to the doctors in fear of mutilation to the organ and hence subsequently end up with advanced disease. Many patients with T1 or T2 disease when carefully selected are amenable to organ-preserving penile procedures including surgery, topical therapy, laser, and radiation therapy. Identification of appropriate patients and institution of these treatments has been noted to produce oncologically comparable results to extirpative surgeries. In this article, we review the criteria to identify patients qualifying for organ-preserving treatments and also review outcomes with a variety of penile-preserving procedures.

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Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results?

Cited by 35 publications

References 22 publications

Sexuality in Surgically Treated Carcinoma Penis Patients and Their Partners

Sexuality in Surgically Treated Carcinoma Penis Patients and Their Partners

Organ-sparing surgery of penile cancer: higher rate of local recurrence yet no impact on overall survival

Organ Preservation Surgery for Carcinoma Penis

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