The effect of erectile dysfunction on the quality of life of men after radical prostatectomy

Abstract

counselled before RP about possible ED afterward. RESULTSThe response rate was 91% and the median time since RP 92 months; 76% of those who were potent before RP were impotent afterward. The overall results showed that the QoL of 72% of patients was moderately or severely affected. For each question, on average a third of the patients reported that their QoL was affected either 'quite a lot' or 'a great deal' . CONCLUSIONSThis study shows that ED after RP has a profound effect on QoL; it is therefore important when assessing ED to use an EDspecific QoL questionnaire such as the EDEQoL to measure the psychosocial effect of ED, in addition to using an instrument such as the International Index of Erectile Function to measure the functional aspects of ED. KEYWORDSerectile dysfunction, quality of life, questionnaire, radical prostatectomy OBJECTIVETo report on the first use of a quality-of-life (QoL) measure specific for erectile dysfunction (ED), the 'ED effect on QoL' (ED-EQoL), to assess the effect of ED on QoL after radical prostatectomy (RP). PATIENTS AND METHODSWe retrospectively identified 89 patients who had undergone RP at one institution. Each was sent the ED-EQoL and a second questionnaire asking whether they had been

Erectile dysfunction and sexual health after radical prostatectomy: impact of sexual motivation

“…26 Loss of self-esteem was experienced by 28.9% of the less motivated patients and 52% of the motivated patients, and anxiety over performance before intercourse by 25.4% of all patients. These rates are somewhat lower than published rates (75% for self-esteem, 25 28-70% for anxiety over performance 27 ). The psychological impact of compromised sexual function did not depend on the time-frame of follow-up after RP (o12, 12-24, 424 months), confirming the difficulty patients have in coping psychologically with continued compromised sexual function.…”

“…Loss of masculine identity affected Sexual health after radical prostatectomy R Messaoudi et al the most patients (61.9%) and has been frequently reported in the literature. 25 It can affect everyday relationships with women, sexual intimacy and fantasy life. 26 Loss of self-esteem was experienced by 28.9% of the less motivated patients and 52% of the motivated patients, and anxiety over performance before intercourse by 25.4% of all patients.…”

The psychosocial aspects of sexual recovery after prostate cancer treatment

“…37 Some men report feeling sad and tearful about the loss of erectile functioning. 38 Their self-regard is diminished and they experience the changes in sexuality as a loss of quality of life. 36,39 Several qualitative studies described patient reports of loss of manhood and loss of familiar self that can come with the sexual side effects of prostate Sexual recovery after prostate cancer D Wittmann et al cancer treatment.…”

Laparoszkópos radikális prostatectomia utáni pénisz-rehabilitáció eredményei avanafil hatóanyaggal

“…A 40-50 év közötti férfiak 75-84%-a, míg a 6. év-tizedben 48-59% vallja szükségesnek. Azonban ezen betegeknél az erekció elmaradása rontja a beteg életminőségét és feszültséghez vezethet a párkapcsolatban (12,13). Szintén megállapítást nyert, hogy a műtét előtt jobb merevedési mutatókkal rendelkezők motiváltabb csoportot képeznek a posztoperatív kielégítő erekció és szexuális funkció eléréséhez (14).…”