Most Read Articles
2 days ago
Use of potassium citrate and thiazides appears to improve health-related quality of life (HRQOL) among stone formers across all Wisconsin Stone Quality of Life (WISQOL) domains without increasing the likelihood of gastrointestinal complaints and fatigue or sexual complaints, respectively, reports a study.
Pearl Toh, 6 days ago
First-line therapy with the BTK* inhibitor ibrutinib plus the anti-CD20 immunotherapy rituximab confers significant survival advantage over the current gold-standard regimen of fludarabine, cyclophosphamide, and rituximab (FCR) for young, fit patients with treatment-naïve chronic lymphocytic leukaemia (CLL), according to the E1912 trial, a large cooperative group study supported by the US National Cancer Institute.
3 days ago
Eating high amounts of red and processed meat prior to a diagnosis of colorectal cancer appears to be associated with shorter survival time, although a possible weak association cannot be excluded, a study has shown.
3 days ago
Middle-aged Caucasian men who are dissatisfied with their marriage are at higher risk of sudden cardiac death regardless of other cardiovascular risk factors, a new study reports.

Radical prostatectomy delivers long term effects on intercourse satisfaction

10 Aug 2018

Radical prostatectomy (RP) has enduring effects on erectile dysfunction, but restoration of function may not lead to restoration of intercourse satisfaction, a recent study has found.

Using the International Index of Erectile Function (IIEF), researchers assessed erectile function and intercourse satisfaction in 166 men (mean age 58±7 years) before RP and 24 months after RP. Repeated measures t-tests were used to compare changes in scores. Multivariable analyses were performed to evaluate the correlation between function and satisfaction.

At baseline, mean scores for the Erectile Function (EFD) and Intercourse Satisfaction (ISD) domains of the IIEF were 29±2 and 12, respectively. Both scores significantly dropped to 20±10 (p≤0.01) and 8.3 (p<0.001) by 24 months.

Less than half of the participants (46 percent; n=77) were able to achieve penetration hardness erections (PHE) after 24 months, regardless of the use of phosphodiesterase type 5 inhibitors (PDE5is). An even small percentage were able to achieve PHE without the use of PDE5is (22 percent; n=37).

However, even in men who were able to achieve PHE, ISD scores remained significantly lower at the 24-month follow-up relative to baseline values (11.3 vs 12.3; p<0.001). This was true for men who were (11.7 vs 12.5) or were not (10.8 vs 12.1; p<0.01 for both) taking PDE5is.

Multivariable analysis showed that of all factors considered, only 24-month EFD scores (β, 0.23; p=0.04) and baseline intercourse satisfaction (β, 0.46; p<0.01) were significantly predictive of intercourse satisfaction at 24 months.

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Most Read Articles
2 days ago
Use of potassium citrate and thiazides appears to improve health-related quality of life (HRQOL) among stone formers across all Wisconsin Stone Quality of Life (WISQOL) domains without increasing the likelihood of gastrointestinal complaints and fatigue or sexual complaints, respectively, reports a study.
Pearl Toh, 6 days ago
First-line therapy with the BTK* inhibitor ibrutinib plus the anti-CD20 immunotherapy rituximab confers significant survival advantage over the current gold-standard regimen of fludarabine, cyclophosphamide, and rituximab (FCR) for young, fit patients with treatment-naïve chronic lymphocytic leukaemia (CLL), according to the E1912 trial, a large cooperative group study supported by the US National Cancer Institute.
3 days ago
Eating high amounts of red and processed meat prior to a diagnosis of colorectal cancer appears to be associated with shorter survival time, although a possible weak association cannot be excluded, a study has shown.
3 days ago
Middle-aged Caucasian men who are dissatisfied with their marriage are at higher risk of sudden cardiac death regardless of other cardiovascular risk factors, a new study reports.