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.
Highlights
Penile carcinoma is a rare malignant disease with a significantly higher incidence in some developing countries
Aggressive therapy with partial penectomy is a common treatment for penile carcinoma patients
There is a reduction in the length of penis, several studies have reported that the remaining penis may still become erect and vaginal penetration is frequently possible[5]
Summary
Penile carcinoma is a rare malignant disease with a significantly higher incidence in some developing countries. Partial penectomy is a common treatment for penile carcinoma. According to Romero’s study, 55.6% of patients reported erection of the penile allowed vaginal penetration after partial penectomy[1]. The sexual function of men with partial penectomy is often affected by physiological and psychological factors. Few studies have provided information about the sexual function and the influenced factors after partial penectomy. The objective of this prospective study was to evaluate the sexual function after partial penectomy, and the associations between sexual function and age, body mass index (BMI), penile length in the flaccid state after partial penectomy (PL), treatment, partner and psychological factors
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