MP91-11 REPRODUCTIVE KNOWLEDGE AND ATTITUDES OF PATIENTS UNDERGOING RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyInfertility: Epidemiology & Evaluation1 Apr 2016MP91-11 REPRODUCTIVE KNOWLEDGE AND ATTITUDES OF PATIENTS UNDERGOING RADICAL PROSTATECTOMY Nelson Bennett, Alexander Muller, Patricia Guhring, and John Mulhall Nelson BennettNelson Bennett More articles by this author , Alexander MullerAlexander Muller More articles by this author , Patricia GuhringPatricia Guhring More articles by this author , and John MulhallJohn Mulhall More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2598AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES While sexual sequelae of radical prostatectomy (RP) are well appreciated and often discussed, infertility in this population is rarely written about in the literature. This analysis was undertaken to better understand the fertility discussion experience and attitudes of men undergoing RP. METHODS The population chosen for this analysis was men who had had a RP within the prior 6 months who were ≤50 years of age with a partner of reproductive age (≤45 years). Men were asked about their understanding of the impact of RP on their future fertility potential, whether they were advised to bank sperm, whether they actually banked sperm, and if they had not, their level of interest in sperm extraction post-RP. Patient and partner demographic data was recorded. Interest (pre or postop) was listed as no, maybe and yes. Multivariable model was constructed to look for predictors of interest in fertility in men undergoing RP. RESULTS 364 men were interviewed. Mean patient and partners age were 44±3 (38-50) years and 34±4 (32-42) years respectively. 58% of men could not recall ever being told about failure to ejaculate. With regard to interest in fertility; 11% said yes, 17% maybe, 72% no. 84% never appreciated banking preoperatively was an option, however, 20% of those definitely interested in fertility and 6% of those who might be interested actually banked semen. Only 8 men (2%) were aware that testis sperm extraction was a possibility post-RP. Predictors of yes/maybe interest in fertility were: young partner age, men without children, partner without children (see Table). CONCLUSIONS While the majority of younger men undergoing RP are not interested in fertility, a distinct minority are and appear to be poorly educated and prepared for fertility decisions before or after RP. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e1157 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Nelson Bennett More articles by this author Alexander Muller More articles by this author Patricia Guhring More articles by this author John Mulhall More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...