Sexual function in teenagers after multimodal treatment of pelvic rhabdomyosarcoma: A preliminary report.
OBJECTIVE
The multimodal approach to treatment of genitourinary rhabdomyosarcoma (RMS) has improved survival rates, but there is now a focus on the effect on quality of life. Our aim was to evaluate erectile function in children with rhabdomyosarcoma (RMS) who underwent chemotherapy, radiotherapy, cystectomy and continent urinary diversion.


METHODS
We evaluated four eligible patients (age > 14 years) from our genitourinary RMS database. In two patients the reservoir was constructed at the same time of the cystectomy and in two after undiversion of an ileal conduit. All patients were treated with chemotherapy and radiation therapy before cystectomy. We used a questionnaire to estimate erectile function in adolescents and young adults. There were four questions, each one to be scored 1-5, assessing capability to masturbate.


RESULTS
Mean follow up after cystectomy was 9.75 years. We considered that two patients had erections of good quality (scores 18 and 20) and two of moderate quality (scores 8 and 10). One patient had a good response to sildenafil administration.


CONCLUSIONS
Our data demonstrate that it is possible to keep erectile function during masturbation in children with RMS who have undergone chemotherapy, radiotherapy, cystectomy and continent urinary diversion.
Macedo
Antonio
A
Department of Urology, Federal University of São Paulo, Rua Maestro Cardim, 560/215, 01323-000, São Paulo, Brazil. macedo.dcir@epm.br
Ferreira
Pedro Vanalle
PV
Barroso
Ubirajara
U
Demarchi
Guilherme T
GT
Garrone
Gilmar
G
Liguori
Riberto
R
Caran
Eliana
E
Ortiz
Valdemar
V
D000293:Adolescent; D003131:Combined Modality Therapy; D015653:Cystectomy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010410:Penile Erection; D011471:Prostatic Neoplasms / Q000601:surgery / Q000628:therapy*; D012208:Rhabdomyosarcoma / Q000601:surgery / Q000628:therapy*; D011795:Surveys and Questionnaires; D001749:Urinary Bladder Neoplasms / Q000601:surgery / Q000628:therapy*; D016476:Urinary Reservoirs, Continent