title: [Modification of sexual desire and orgasm after radical prostatectomy for prostate cancer].
abstract: OBJECTIVE
  To assess the impact of RP on patients' sexual desire and orgasm.
  
  
  METHODS
  Prospective, cross-sectional survey using a 16-item self-administered questionnaire. We assessed relevant domains of male sexual function (erectile function, sexual desire, and orgasm), psychological impact and treatment of ED.
  
  
  RESULTS
  A total of 63 consecutive patients after RP were included (mean age: 63.9). Median time between questionnaire and RP was 26.8 months (range 6-67). After RP, 74.6 % of patients used ED treatments. Lower sexual desire and intercourse frequency were reported in respectively 52.4 and 79.4 %. Orgasm was modified in most patients: 39.7 % described loss of orgasm and 38.1 % reported decreased intensity. Involuntary loss of urine at orgasm (climacturia) was reported in 25.4 %. Negative psychological impact was reported in 68.3 % (loss of self-esteem, loss of masculinity, anxiety).
  
  
  CONCLUSIONS
  RP adversely affected erectile and orgasmic functions but also sexual desire, self-esteem and masculinity despite treatments. Candidates for RP should be aware of ED but also of other postoperative sexual dysfunctions.
authors.affiliation: Département d'urologie-andrologie, CHU Robert-Debré, avenue du Général-Koenig, 51100 Reims, France. messaoudirabah@hotmail.com
authors.forename: R
authors.initials: R
authors.lastname: Messaoudi
authors.forename: J
authors.initials: J
authors.lastname: Menard
authors.forename: H
authors.initials: H
authors.lastname: Parquet
authors.forename: T
authors.initials: T
authors.lastname: Ripert
authors.forename: F
authors.initials: F
authors.lastname: Staerman
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D007172:Erectile Dysfunction / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007989:Libido; D008297:Male; D008875:Middle Aged; D009948:Orgasm; D011184:Postoperative Period; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000534:rehabilitation / Q000601:surgery*; D011788:Quality of Life; D020127:Recovery of Function; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors