PD63-10 ORGASMIC DYSFUNCTION AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY: A SURVEY OF PATIENT AND PARTNER OUTCOMES

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy V (PD63)1 Apr 2020PD63-10 ORGASMIC DYSFUNCTION AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY: A SURVEY OF PATIENT AND PARTNER OUTCOMES Farouk M. el Khatib*, Edward Choi, Linda M. Huynh, Huang Wei Su, Mohamad M. Osman, Faysal Yafi, and Thomas Ahlering Farouk M. el Khatib*Farouk M. el Khatib* More articles by this author , Edward ChoiEdward Choi More articles by this author , Linda M. HuynhLinda M. Huynh More articles by this author , Huang Wei SuHuang Wei Su More articles by this author , Mohamad M. OsmanMohamad M. Osman More articles by this author , Faysal YafiFaysal Yafi More articles by this author , and Thomas AhleringThomas Ahlering More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000980.010AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Climacturia is common after robot-assisted radical prostatectomy (RARP). Patients uniformly list it as a significant detractor for theirs and their partners’s quality of life. The present study seeks to define the nature and type of orgasmic dysfunctions after RARP. METHODS: Between January 2010 and September 2018, 880 RARP were performed by a single surgeon. An electronic questionnaire was sent to 800 (91%) patients with questions related to orgasm, intensity, time to reach orgasm, description of orgasm, and an orgasm-specific bother score for the patient and his partner. Men who received post-RP hormonal or radiation therapy were asked to answer based on their status before receiving the treatment. RESULTS: 339/800 men (42%) completed the questionnaire. Regarding orgasm intensity, 146 (43%) reported less intensity, 116 (34%) same intensity, 38 (11%) more intense, and 39 (12%) could not reach orgasm. 48 (14%) reported that they needed less time to reach orgasm, 120 (35%) no change in duration, and 130 (38%) longer time to reach orgasm. When asked to describe overall orgasmic experience, 159 (47%) patients reported no change, 124 (37%) less enjoyable, 27 (8%) more enjoyable, 12 (4%) numbness, 8 (2%) discomfort, 6 (2%) tickling, 5 (1%) burning sensation and 3 (1%) pain (dysorgasmia). Dysorgasmia was reported 3 times and patients localized it to the penis and one reported radiation to the lower abdominal area. One patient reported a constant, severe pain within the first 3 months following RARP, the second patient reported severe pain starting between 3 months and 1 year after RARP, occurring more than half the time; and, the third patient reported a slightly severe pain beginning 1 year after RARP, occurring approximately half the time. The 3 respondents continue to experience dysorgasmia. Figure 1 depicts the bother score distribution, related to orgasm for both the patient and his partner. CONCLUSIONS: The present study represents one of the largest cohorts in the literature, specifically targeting post-RARP orgasmic functional changes. Such variations should be acknowledged preoperatively, as many of these changes can be detrimental to the patient and partner quality of life. Source of Funding: NA © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e1296-e1297 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Farouk M. el Khatib* More articles by this author Edward Choi More articles by this author Linda M. Huynh More articles by this author Huang Wei Su More articles by this author Mohamad M. Osman More articles by this author Faysal Yafi More articles by this author Thomas Ahlering More articles by this author Expand All Advertisement PDF downloadLoading ...