SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY: PREVALENCE, TREATMENTS, RESTRICTED USE OF TREATMENTS AND DISTRESS

MATTHEW, ANDREW G.; GOLDMAN, ADAM; TRACHTENBERG, JOHN; ROBINSON, JOHN; HORSBURGH, SHERI; CURRIE, KRISTEN; RITVO, PAUL

doi:10.1097/01.ju.0000181206.16447.e2

Cited by 110Sexual function and dysfunction studiesProstate Cancer Diagnosis and TreatmentCancer survivorship and care

SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY: PREVALENCE, TREATMENTS, RESTRICTED USE OF TREATMENTS AND DISTRESS

MATTHEW, ANDREW G., GOLDMAN, ADAM, TRACHTENBERG, JOHN, ROBINSON, JOHN, HORSBURGH, SHERI, CURRIE, KRISTEN, RITVO, PAUL·2005·Journal of Urology

DOI 10.1097/01.ju.0000181206.16447.e2

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Abstract

Purpose Cancer of the prostate (CAP) is one of the most common malignancies affecting North American men with about 215,000 new cases and 35,800 CAP related deaths annually. The most prevalent intervention for localized CAP is radical prostatectomy (RP) with 10-year survival rates approaching 90%. Studies of men in post-RP recovery indicate that 44% to 75% experience sexual dysfunction and more than 60% experience distress in reaction to sexual dysfunction problems. These findings are increasingly significant as prostate specific antigen testing continues to increase CAP detection rates, resulting in more and younger post-RP patients confronting sexual dysfunction. Materials and methods A MEDLINE database search was performed for articles published from 1966 to September 2004. Results Despite effectiveness 30% to 50% of patients who turn to sexually assistive aids after RP discontinue use within a year. This suggests that the achievement of physical responsiveness to an aid is necessary but it is not a sufficient factor in long-term sexual adaptation. Current research exploring this gap between effectiveness and ongoing use supports a broader perspective of sexual dysfunction emphasizing several factors, including perceptions of inadequacy, anxieties in regard to performance and depression in each member of the couple, overly enthusiastic expectations, partner physical/emotional readiness to resume active sex, the meaning to the couple of using a sexual aid and the quality of…

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Discontinuation rates across medical interventions for erectile function are exceedingly high (50-61%) irrespective of treatment effectiveness.
“and discontinuation rates are exceedingly high (50–61%) irrespective of treatment effectiveness.21, 22, 23, 24, 25, 26”
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Authors: MATTHEW, A. G., GOLDMAN, A., TRACHTENBERG, J., ROBINSON, J., HORSBURGH, S., CURRIE, K., & RITVO, P.
Affiliations: University of Calgary (CA)
ORCID: GOLDMAN, ADAM
TRACHTENBERG, JOHN
CURRIE, KRISTEN
RITVO, PAUL
Venue: Journal of Urology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2005-12
Volume: 174
Issue: 6
Pages: 2105-2110
ISSN: 0022-5347 (ISSN-L)
1527-3792
DOI: 10.1097/01.ju.0000181206.16447.e2
OpenAlex: W2002955825
Cited by: 110
References: 50
Citations by year: 2025: 1 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 8 · 2014: 9 · 2013: 2 · 2012: 7
FWCI: 3.21
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Journal of Urology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: sexual dysfunction, radical prostatectomy, prostate cancer, sexual distress, sexual adaptation, couple relationships, quality of life, treatment discontinuation, postoperative recovery
MeSH terms: Sildenafil Citrate, Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Alprostadil, Humans, Erectile Dysfunction, Male, Middle Aged, Phosphodiesterase Inhibitors, Piperazines, Platelet Aggregation Inhibitors, Prostatectomy, Prostatic Neoplasms, Purines, Risk Factors, Stress, Psychological, Sulfones, Vacuum Curettage, Penile Prosthesis, Prevalence

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SEXUAL DYSFUNCTION AFTER RADICAL PROSTATECTOMY: PREVALENCE, TREATMENTS, RESTRICTED USE OF TREATMENTS AND DISTRESS

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