Unsuccessful investigation of preoperative sexual health issues in the prostate cancer "couple": results of a real-life psychometric survey at a major tertiary academic center.
BACKGROUND
Investigating preoperative sexual function of patients with prostate cancer (PCa) and their partners is needed for realistic functional outcome analyses after radical prostatectomy (RP).


OBJECTIVE
To assess pre-RP sexual health issues of PCa patients and their partners in a stable heterosexual relationship.


METHODS
Data were analyzed from 3,282 consecutive patients who underwent RP over a three-period survey. During Period 1, on admission to the hospital the day prior to surgery, 1,360 patients were asked to complete the International Index of Erectile Function (IIEF). During Period 2, 1,171 patients were asked to complete the preoperative IIEF; similarly, patients' partners were invited to complete the Female Sexual Function Index (FSFI). Lastly, during Period 3, only candidates for RP were asked to fill in the IIEF.


METHODS
To assess the rate of patients who completed the questionnaire during the three-period survey. To detail the proportion of patients' partners who filled in the questionnaire, along with the partners' reasons for non-adherence to the proposed investigation during Period 2.


RESULTS
A small rate of men completed the IIEF during Period 1 (583 in 1,360 [42.9%]), Period 2 (290 in 1,171 [24.8%]), and Period 3 (261 in 751 [34.8%]) (chi(2) trend: 13.06; P = 0.0003). In this context, a significantly lower proportion of patients completed the questionnaire during Period 2, as compared with both Period 1 (chi(2): 95.13; P = 0.0001) and Period 3 (chi(2): 21.87; P < 0.0001). Only 82 in 1,171 (7.0%) partners completed the FSFI over Period 2. Moreover, only 6 in 82 (7.3%) of women provided complete data.


CONCLUSIONS
The investigation of sexual health issues of both partners prior to RP is largely unsuccessful. In this context, the prevalence of incomplete data collection is high, and these results demonstrate that contemporaneously investigating the sexual health issues of both partners significantly increases the prevalence of incomplete data collection.
Salonia
Andrea
A
University Vita-Salute San Raffaele-Department of Urology, Milan, Italy. saloniaandrea@yahoo.com
Zanni
Giuseppe
G
Gallina
Andrea
A
Briganti
Alberto
A
Saccà
Antonino
A
Suardi
Nazareno
N
Matloob
Rayan
R
Da Pozzo
Luigi F
LF
Bertini
Roberto
R
Colombo
Renzo
R
Rigatti
Patrizio
P
Montorsi
Francesco
F
D000046:Academic Medical Centers; D000328:Adult; D000368:Aged; D007172:Erectile Dysfunction / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000150:complications / Q000523:psychology / Q000601:surgery; D011594:Psychometrics; D012720:Severity of Illness Index; D012747:Sexual Partners / Q000523:psychology; D011795:Surveys and Questionnaires
D017430:Prostate-Specific Antigen