title: Sexual Function after Partial Penectomy: A Prospectively Study From China.
abstract: The Purpose of this study was to evaluate the sexual function after partial penectomy for penile carcinoma patients. Between January 2010 and May 2013, patients treated with partial penectomy at our institution were prospectively enrolled in this study. Sexual function (IIEF-15), age, body mass index, penile length in the flaccid state after partial penectomy (PL), treatment, having a partner and psychological factors (SAS scores and SDS scores) were assessed. Univariate and multivariate linear regression analyses were performed. 43 patients were included in our study. The median age was 56 years, and the median PL was 4 cm. The preoperative IIEF-15, SAS, SDS scores were significantly different from the postoperative scores. There was no statistically significant difference between the patients treated with partial penectomy and partial penectomy+ lymphadenectomy on IIEF-15 scores. Age was negatively associated with erectile function, sexual desire, and overall satisfaction; PL was positively associated with intercourse satisfaction; SAS score was negatively associated with erectile function, orgasmic function, sexual desire, and intercourse satisfaction. Our preliminary findings suggest that the sexual function after partial penectomy was significantly reduced. The sexual function was negatively affected by age and anxiety but positively affected by PL.
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Cui
authors.initials: C
authors.lastname: Yu
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Hequn
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Liu
authors.initials: L
authors.lastname: Longfei
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Minfeng
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Zhi
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Zeng
authors.initials: Z
authors.lastname: Feng
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Chen
authors.initials: C
authors.lastname: Jinbo
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Lin
authors.affiliation: Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410000, China.
authors.forename: Zu
authors.initials: Z
authors.lastname: Xiongbing
mesh_terms: D000367:Age Factors; D015992:Body Mass Index; D003075:Coitus / Q000523:psychology*; D007172:Erectile Dysfunction / Q000473:pathology / Q000503:physiopathology / Q000523:psychology* / Q000601:surgery; D006801:Humans; D016014:Linear Models; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009929:Organ Size; D009948:Orgasm / Q000502:physiology; D010410:Penile Erection / Q000502:physiology; D010412:Penile Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000523:psychology* / Q000601:surgery; D010413:Penis / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D012107:Research Design; D011795:Surveys and Questionnaires