Decrease in Intercourse Satisfaction in Men Who Recover Erections After Radical Prostatectomy

The Journal of Sexual Medicine
Jean E TerrierChristian J Nelson

Abstract

Recovery of erections after radical prostatectomy (RP) is assumed to lead to recovery in sexual satisfaction. Although data suggest a relationship between sexual function and sexual satisfaction, it is unclear whether presurgical levels of sexual satisfaction are attained for men who "recover" erections post-RP. The goal of this analysis is to determine whether the recovery of erectile function restores presurgical levels of sexual satisfaction. We assessed 229 men pre-RP and 24-months post-RP. At both time points, participants completed the Erectile Function Domain (EFD) and the Intercourse Satisfaction Domain (ISD) of the International Index of Erectile Function (IIEF). Erectile function recovery at 24 months was defined as (1) (EFD≥24) or (2) EFD back to baseline (BTB). One hundred sixty-six men with penetration hardness erections (PHEs) at baseline (EFD >24) were included in the analyses. Repeated measure t-tests were used to compare changes in ISD scores and effect size (Cohen's d) was calculated to determine the clinical significance of these changes. Multivariable analyses (MVA) were used to test the relationship between EFD and ISD. The mean age of men was 58 (SD = 7) years. The mean EFD score at baseline was 29 (SD = 2...Continue Reading

References

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