Izvorni znanstveni članak
Sex or Surgery – Erectile Dysfunction after Radical Treatment of Localized Prostate Cancer
Vesna Lesko Kelović
; Department of Oncology, University Hospital Center »Zagreb«, Zagreb, Croatia
Damir Buković
; Department of Gynecology and Obstetrics, University Hospital Center »Zagreb«, Zagreb, Croatia
Saša Badžek
; Department of Oncology, University Hospital Center »Zagreb«, Zagreb, Croatia
Zvonimir Curić
; Department of Oncology, »Dubrovnik« General Hospital, Dubrovnik, Croatia
Zlatko Kelović
; Department of Anatomy, School of Medicine, University Zagreb, Croatia
Zoran Peršec
; Department of Urology, University Hospital »Dubrava«, Zagreb, Croatia
Mato Pavić
; Department of Gynecology and Obstetrics, University Hospital Center »Zagreb«, Zagreb, Croatia
Sažetak
The maintenance of satisfactory quality of life is major concern in majority of patients who elect treatment for localized prostate cancer. We conducted a cross-sectional study to determine sexual function after radical prostatectomy (RP) and external beam radiotherapy (EBRT). Study population consisted of series of 57 patients with early-stage adenocarcinoma of the prostate, treated in our institution in the period from January 2003 till December 2003. Thirty three patients underwent radical retropubical prostatectomy and 24 patients were treated by primary radical radiotherapy. Patients have been given the full international index of erectile function (IIEF) questionnaire two to four and six months after the treatment. Post treatment sexual function in patients treated by EBRT is significantly better than in patients treated by RP (48,5% vs. 21.57%, p<0,0001). Subgroup analysis reveals that satisfaction with erectile function, maintaining of sexual intercourse and possibility of ejaculation is better in patients treated by EBRT than in patients treated by RP (44.67% vs. 11.57%, p <0,0001) as well as general satisfaction with quality of sexual life (48.5% in EBRT group vs. 21.57% in RP group, p <0,0001). On the other hand, sexual desire remains the same in both groups of patients (63.75% in EBRT group vs. 60.61% in RP group, p = 0.71). Six months after surgical or radiotherapy treatment erectile function is almost as twice as worse in patients treated by surgery than in patients treated by radiotherapy.
Ključne riječi
erectile dysfunction; radical prostatectomy; radiotherapy; prostate cancer
Hrčak ID:
40539
URI
Datum izdavanja:
1.7.2009.
Posjeta: 1.233 *