title: [Erectile function and sexuality of partners after radical prostatectomy with robotics versus manual laparoscopy: long-term assessment].
abstract: OBJECTIVE
  To compare the long-term sexual outcome of laparoscopic radical prostatectomy (LRP) vs robot-assisted laparoscopic prostatectomy (RALP).
  
  
  METHODS
  A questionnaire was sent to the 412 patients treated by the same surgeon by LRP or RALP from March 2004 to July 2009. Ninety-six patients were evaluated preoperatively with a good erectile function before surgery and a follow-up more than 24 months. Erectile function was evaluated by the IIEF-5, the QLQ-C30 PR25 questionnaires. Partner's sexuality was evaluated with a FSFI's based questionnaire.
  
  
  RESULTS
  There was no significant difference before surgery between two groups LRP and RALP. After surgery, the IIEF-5 without any treatment was better in RALP group than in LRP group (P=0.025). When a bilateral nerve sparing was performed, the IIEF-5 maximum was better in RALP group (P=0.002). For the partners, there was no difference between the two techniques and it appeared that communication about sexuality is the less altered, long time after a radical prostatectomy.
  
  
  CONCLUSIONS
  In case of bilateral nerve sparing prostatectomy, an experimented operator in laparoscopic surgery should have better long-term erectile function results with RALP than LRP. Partner's sexuality modifications need more prospective studies to know its influence on erectile rehabilitation.
authors.affiliation: Service d'urologie, bocage central, 14, rue Gafarel, 21000 Dijon, France. nordine@deffar.info
authors.forename: N
authors.initials: N
authors.lastname: Deffar
authors.forename: N
authors.initials: N
authors.lastname: Koutlidis
authors.forename: L
authors.initials: L
authors.lastname: Cormier
mesh_terms: D007172:Erectile Dysfunction / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods; D011471:Prostatic Neoplasms / Q000209:etiology / Q000601:surgery*; D011788:Quality of Life; D012371:Robotics; D012747:Sexual Partners; D019529:Sexuality; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome