title: Evaluation of sexual functions and sexual behaviors after penile brachytherapy in men treated for penile carcinoma.
abstract: OBJECTIVE
  To assess sexual functions and behaviors of men treated by penile brachytherapy for a cancer of the penis.
  
  
  METHODS
  Thirty eight men (19 patients treated by penile brachytherapy for a cancer of the penis and 19 age paired-matched controls) participated in a survey about sexuality. The mean age of patients and controls were 73.2 +/- 11.7 and 70.0 +/- 10.5 years, respectively (NS). Controls were men without penile pathology, without history of cancer and no evidence of cognitive impairment. All agreed to participate in the survey about sexuality using 2 questionnaires : the IIEF questionnaire, which explores 4 domains of sexual functions, namely erection, satisfaction, orgasm and desire, and a questionnaire created using the BASIC IDEA grid, which addresses nine domains: behavior, affect, sensation, self-image, cognition, interpersonal, drugs, expectation and attitude.
  
  
  RESULTS
  Patients had better scores than controls in 3 domains of the IIEF: erection, desire and satisfaction. These results contrasted with the frequency of intercourse and the quality of erection (evaluated through the BASIC IDEA questionnaire) that were not significantly different between the two populations. Patients also had significantly higher frequency of masturbation (p <0.001) lower worry about sexual performance and higher expected satisfaction for future life (p: 0.021) than controls.
  
  
  CONCLUSIONS
  Penile brachytherapy is a treatment of cancer of the penis that seems to have a moderated impact on sexual functions since most of sexual scores are not inferior in these patients than in age pair-matched controls.
authors.affiliation: Department of Andrology and Sexology, Paul Sabatier University, Toulouse University Hospital Paule de Viguier, Toulouse, EA 3694 France.
authors.forename: Patrice Njomnang
authors.initials: PN
authors.lastname: Soh
authors.affiliation: Department of Andrology and Sexology, Paul Sabatier University, Toulouse University Hospital Paule de Viguier, Toulouse, EA 3694 France ; Département d'Urologie CHU Rangueil, 1 av. Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France.
authors.forename: Boris
authors.initials: B
authors.lastname: Delaunay
authors.affiliation: Department of Andrology and Sexology, Paul Sabatier University, Toulouse University Hospital Paule de Viguier, Toulouse, EA 3694 France ; Département d'Urologie CHU Rangueil, 1 av. Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France.
authors.forename: Elie Bou
authors.initials: EB
authors.lastname: Nasr
authors.affiliation: Department of Radiotherapy, Institut Universitaire du Cancer, Toulouse, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Delannes
authors.affiliation: Département d'Urologie CHU Rangueil, 1 av. Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Soulie
authors.affiliation: Department of Andrology and Sexology, Paul Sabatier University, Toulouse University Hospital Paule de Viguier, Toulouse, EA 3694 France ; Département d'Urologie CHU Rangueil, 1 av. Jean Poulhès, TSA 50032, 31059 Toulouse Cedex 9, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Huyghe
keywords: Brachytherapy; Penile carcinoma; Questionnaire; Sexual function