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N.l. Ramos, J. Silva, E. Silva, HP-06-002 Radical Prostatectomy vs Anterior Resection of the Rectum: Are there any Differences in Sexuality?, The Journal of Sexual Medicine, Volume 16, Issue Supplement_2, May 2019, Page S40, https://doi.org/10.1016/j.jsxm.2019.03.142
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Objective
The aim of this study was to evaluate clinical patients’ characteristics submitted to Radical Prostatectomy (RP) or Anterior Resection of the Rectum (ARR) and evaluated in our multidisciplinary Oncosexology consultation.
Methods
We performed a unicenter retrospective cohort study, on patients evaluated in our multidisciplinary Oncosexology consultation, between January 2015 to January 2018, submitted to RP or ARR (males). We evaluate the patient and oncologic characteristics, the type of sexual dysfunction, marital status, assessed the International Index of Erectile Function (IIEF-5) on the first and last consultation and the therapeutic approach. A statistical analysis was performed.
Results
A total of 55 patients were included, 60% (33) performed ARR and 40% (22) RP. In both groups, most patients were 40-60 years old. Regarding the marital status, majority were married (87.9% in ARR vs 77.3% in RP) (p=0.7). Concerning the oncological treatment, in ARR 97% of the patients needed to proceed treatment with Radiotherapy/ Chemotherapy and in RP 27.2% did radiotherapy. Regarding the sexual dysfunction, erectile dysfunction was found in the majority of patients (>95%). On the initial IIEF-5 scoring, ARR patients had, most frequently, severe or moderate erectile dysfunction (score 5-11), than RP patients, 78.8% vs 59.1% (p= 0.95). When evaluated the last registered IIEF-5 scoring of each patient, there was an improvement in 69.7% of AAR patients and 72.7% of RP patients (p=0.81). Regarding the therapeutic approach, 84.8% of ARR patients used IPDE-5 exclusively, 3% used Alprostadil Injection, while RP patients used 63.6% and 31.8%, respectively (p<0.05).
