MP51-18 ONE OUT OF TEN PATIENTS SUBMITTED TO RADICAL PROSTATECTOMY COMPLAINS OF POSTOPERATIVE PAINFUL ORGASM

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Evaluation II1 Apr 2015MP51-18 ONE OUT OF TEN PATIENTS SUBMITTED TO RADICAL PROSTATECTOMY COMPLAINS OF POSTOPERATIVE PAINFUL ORGASM Paolo Capogrosso, Alessandro Serino, Luca Boeri, Giovanni La Croce, Eugenio Ventimiglia, Angela Pecoraro, Marco Paciotti, Giulia Castagna, Elena Farina, Giorgio Gandaglia, Alberto Briganti, Rocco Damiano, Francesco Montorsi, and Andrea Salonia Paolo CapogrossoPaolo Capogrosso More articles by this author , Alessandro SerinoAlessandro Serino More articles by this author , Luca BoeriLuca Boeri More articles by this author , Giovanni La CroceGiovanni La Croce More articles by this author , Eugenio VentimigliaEugenio Ventimiglia More articles by this author , Angela PecoraroAngela Pecoraro More articles by this author , Marco PaciottiMarco Paciotti More articles by this author , Giulia CastagnaGiulia Castagna More articles by this author , Elena FarinaElena Farina More articles by this author , Giorgio GandagliaGiorgio Gandaglia More articles by this author , Alberto BrigantiAlberto Briganti More articles by this author , Rocco DamianoRocco Damiano More articles by this author , Francesco MontorsiFrancesco Montorsi More articles by this author , and Andrea SaloniaAndrea Salonia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1755AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Altered perception of orgasm, orgasm-associated pain and urinary incontinence during sexual activity following radical prostatectomy (RP) have all received increasing attention over time. We assessed rate and predictors of painful orgasm (PO) in patients submitted to retropubic (RRP) or robot-assisted (RARP) bilateral nerve-sparing RP. METHODS Complete data from 637 preoperatively sexually-active patients submitted to either RRP or RARP were analysed. Patients completed a 28-item questionnaire including sensitive issues regarding sexual function (namely, orgasmic function; climacturia; orgasm-related feeling of ejaculating; painful orgasm (PO); morphometric characteristics of the penis). Patients completed the IIEF and the International Consultation on Incontinence Questionnaire (ICIQ-SF). Descriptive statistics and logistic regression models tested the association between type of surgery and sexual function outcomes at follow-up. Differences in recovery rates from PO were assessed using log-rank test. RESULTS Overall, 300 (47.1%) [mean (SD) age: 62.2 (6.5) yrs; range: 44-76] patients and 337 (52.9%) [62.0 (6.8) yrs; range: 39-78] patients underwent RRP or RARP, respectively. Overall PO rate at mean follow-up (46-mo) was 11.5%, and was higher in RRP vs RARP patients [43 (14.3%) vs 30 (8.9%) (x2: 4.6; p=0.03)]. The most frequently reported sites of PO were the penile shaft [23 (26.1%)], suprapubic area [18 (20.5%)], scrotum/testis [14 (15.9%)], glans penis [8 (9.1%)], and perineum [8 (9.1%)]. Erectile function recovery (IIEF-EF≥22) was higher in RARP patients [183 (59%) vs 127 (41%) (x2: 9.1; p=0.003)], whereas no difference was observed in terms of urinary continence recovery at mean follow-up. At MVA logistic regression analysis RRP technique (OR 2.11; p<0.01) and patient age (OR 0.94; p<0.01) were independent predictors of PO. At log-rank test, young age was associated with a slower recovery from PO (HR 0.96; p=0.03); conversely, the type of surgery, urinary continence and erectile function recovery were not. CONCLUSIONS These findings showed that one out of ten patients report post-RP PO. Younger age and open surgery technique were independently associated with postoperative PO. Recovery from PO was slower in young patients, regardless of surgical technique and functional recovery. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e626-e627 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Paolo Capogrosso More articles by this author Alessandro Serino More articles by this author Luca Boeri More articles by this author Giovanni La Croce More articles by this author Eugenio Ventimiglia More articles by this author Angela Pecoraro More articles by this author Marco Paciotti More articles by this author Giulia Castagna More articles by this author Elena Farina More articles by this author Giorgio Gandaglia More articles by this author Alberto Briganti More articles by this author Rocco Damiano More articles by this author Francesco Montorsi More articles by this author Andrea Salonia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...