title: Sexual outcomes after partial penectomy for penile cancer: results from a multi-institutional study.
abstract: Penile cancer is an uncommon malignancy. Surgical treatment is inevitably mutilating. Considering the strong impact on patients' sexual life we want to evaluate sexual function and satisfaction after partial penectomy. The patients in this study (n = 25) represented all those who attended our institutions and were diagnosed and treated for penile cancer from October 2011 to November 2013. All patients underwent partial penectomy and followed-up (mean: 14 months; range: 12-25). Sexual presurgical baseline was estimated using the International Index of Erectile Dysfunction 15 (IIEF-15). Sexual outcomes of each patient were estimated considering four standardized and validated questionnaires. We analyzed the means and ranges of IIEF-15 including erectile function (IIEF-1-5 and -15), orgasmic function (IIEF-9 and -10), sexual desire (IIEF-11 and -12), intercourse satisfaction (IIEF-6-8), and overall satisfaction (IIEF-13 and -14). Then, we also used Quality of Erection Questionnaire (QEQ), Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) and Self-Esteem and Relationship (SEAR) to evaluate the sexual function and satisfaction of our patients. The final results showed that penile cancer leads to several sexual and psychosexual dysfunctions. Nevertheless, patients who undergo partial penectomy for penile cancer can maintain the sexual outcomes at levels slightly lower to those that existed in the period before surgery.
authors.affiliation: Department of Experimental Medicine and Surgery - Urology, Tor Vergata University of Rome, 00133 Rome, Italy.
authors.forename: Salvatore
authors.initials: S
authors.lastname: Sansalone
authors.affiliation: Department of Urology, Biella General Hospital, 13900 Biella, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Silvani
authors.affiliation: Musumeci GECAS Clinic Gravina di Catania, 95127 Catania, Italy.
authors.forename: Rosario
authors.initials: R
authors.lastname: Leonardi
authors.affiliation: Department of Experimental Medicine and Surgery - Urology, Tor Vergata University of Rome, 00133 Rome, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Vespasiani
authors.affiliation: Department of Experimental Medicine and Surgery - Urology, Tor Vergata University of Rome, 00133 Rome, Italy.
authors.forename: Valerio
authors.initials: V
authors.lastname: Iacovelli
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000523:psychology / Q000601:surgery*; D007172:Erectile Dysfunction / Q000503:physiopathology* / Q000523:psychology; D005500:Follow-Up Studies; D006801:Humans; D007989:Libido; D008297:Male; D008875:Middle Aged; D009948:Orgasm; D017060:Patient Satisfaction; D010410:Penile Erection; D010412:Penile Neoplasms / Q000523:psychology / Q000601:surgery*; D012189:Retrospective Studies; D012649:Self Concept; D012735:Sexual Dysfunction, Physiological / Q000503:physiopathology / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000503:physiopathology* / Q000523:psychology