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Incidence and predictive factors of orgasmic dysfunction after robot-assisted radical prostatectomy: A cross-sectional, questionnaire-based study.
Honda, Masashi; Shimizu, Ryutaro; Teraoka, Shogo; Yumioka, Tetsuya; Yamaguchi, Noriya; Kawamoto, Bunya; Iwamoto, Hideto; Morizane, Shuichi; Hikita, Katsuya; Takenaka, Atsushi.
Afiliación
  • Honda M; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Shimizu R; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Teraoka S; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Yumioka T; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Yamaguchi N; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Kawamoto B; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Iwamoto H; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Morizane S; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Hikita K; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
  • Takenaka A; Department of Urology, Tottori University Faculty of Medicine, Yonago, Tottori, Japan.
Int J Urol ; 29(11): 1304-1309, 2022 11.
Article en En | MEDLINE | ID: mdl-35858762
OBJECTIVE: We sought to evaluate the incidence and extent of orgasmic dysfunction in patients after robot-assisted radical prostatectomy and to identify factors that could predict patients at risk. METHODS: A single-center, questionnaire-based, cross-sectional study was conducted on patients who underwent robot-assisted radical prostatectomy (n = 523) between October 2010 and November 2019. In addition to six questions about sexual activity, orgasmic function, altered perception of orgasms, dysorgasmia, and climacturia, the International Consultation on Incontinence Questionnaire Short Form was administered. In February 2020, a letter was mailed inviting patients to participate in the survey. The primary outcome measure was the rate of orgasmic dysfunction. Logistic regression analyses were used to identify predictors of orgasmic dysfunction. RESULTS: Overall, 259 questionnaires were used for analysis. Among sexually active patients (n = 145), 33 (22.8%) reported anorgasmia, and 83 (57.2%) reported decreased orgasm intensity. Twenty-two (15.1%) patients reported dysorgasmia; among these patients, the pain was experienced almost always or always in 13.6%, sometimes in 13.6%, and a few times in 72.8% of cases. Climacturia was reported by 44 patients (30.3%). Nerve-sparing procedures decreased the risk of anorgasmia (odds ratio 0.37, 95% confidence interval 0.15-0.88) and urinary incontinence increased the risk of climacturia (odds ratio 3.13, 95% confidence interval 1.20-8.15). CONCLUSIONS: These results indicate that orgasmic dysfunction after robot-assisted radical prostatectomy is relatively common.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Robótica / Disfunción Eréctil Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Int J Urol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Australia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Incontinencia Urinaria / Robótica / Disfunción Eréctil Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Humans / Male Idioma: En Revista: Int J Urol Asunto de la revista: UROLOGIA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Australia