Abstract
Objectives
To explore rates of anorgasmia and subjective changes in orgasm following robot-assisted radical prostatectomy (RARP) and to identify possible predicting factors of orgasmic alterations.
Methods
We performed a retrospective chart review of men who participated in a post-RARP sexual rehabilitation consultation at Herlev and Gentofte Hospital between 2017 and 2021. All consultations were performed by the same specialized nurse. The men were asked if they could achieve an orgasm. If confirmed, they were asked which one of 6 descriptions best described their orgasm compared to before RARP. Associations between orgasmic alterations and nerve-sparing surgery were analyzed by Pearsons χ2-tests. Associations between orgasmic alterations and time since surgery as well as age were analyzed by logistic regression.
Results
237 charts contained information about orgasmic function. The mean age at the time of consultation was 65 years (range 39 to 79). Mean time since surgery was 15 months. 42 and 145 men had undergone bilateral and unilateral nerve-sparing RARP respectively, while 50 had not had nerve-sparing. 40% (CI 34%-46%) experienced unchanged orgasms, while 11% (CI 8%-16%) suffered from anorgasmia. Another 11% (CI 8%-16%) had difficulty achieving an orgasm, 11% (CI 8%-16%) experienced decreased intensity, and 22% (CI 17%-27%) had both difficulty achieving an orgasm and experienced it with decreased intensity. 3% (CI 2%-7%) experienced orgasms with increased intensity. The last 1% (CI 0%-4%) had painful orgasms. The only significant association between orgasmic alterations and any predicting factor was between higher age and anorgasmia (p = 0.03). However, the risk of anorgasmia increased only 0.074% per year after the age of 65.
Conclusions
Changes in orgasmic function is common after RARP. There does not seem to be clear predictors of these issues. This underlines the importance of addressing orgasmic function in conjunction with RARP.
Conflicts of Interest
No conflicts of Interest
To explore rates of anorgasmia and subjective changes in orgasm following robot-assisted radical prostatectomy (RARP) and to identify possible predicting factors of orgasmic alterations.
Methods
We performed a retrospective chart review of men who participated in a post-RARP sexual rehabilitation consultation at Herlev and Gentofte Hospital between 2017 and 2021. All consultations were performed by the same specialized nurse. The men were asked if they could achieve an orgasm. If confirmed, they were asked which one of 6 descriptions best described their orgasm compared to before RARP. Associations between orgasmic alterations and nerve-sparing surgery were analyzed by Pearsons χ2-tests. Associations between orgasmic alterations and time since surgery as well as age were analyzed by logistic regression.
Results
237 charts contained information about orgasmic function. The mean age at the time of consultation was 65 years (range 39 to 79). Mean time since surgery was 15 months. 42 and 145 men had undergone bilateral and unilateral nerve-sparing RARP respectively, while 50 had not had nerve-sparing. 40% (CI 34%-46%) experienced unchanged orgasms, while 11% (CI 8%-16%) suffered from anorgasmia. Another 11% (CI 8%-16%) had difficulty achieving an orgasm, 11% (CI 8%-16%) experienced decreased intensity, and 22% (CI 17%-27%) had both difficulty achieving an orgasm and experienced it with decreased intensity. 3% (CI 2%-7%) experienced orgasms with increased intensity. The last 1% (CI 0%-4%) had painful orgasms. The only significant association between orgasmic alterations and any predicting factor was between higher age and anorgasmia (p = 0.03). However, the risk of anorgasmia increased only 0.074% per year after the age of 65.
Conclusions
Changes in orgasmic function is common after RARP. There does not seem to be clear predictors of these issues. This underlines the importance of addressing orgasmic function in conjunction with RARP.
Conflicts of Interest
No conflicts of Interest
| Originalsprog | Engelsk |
|---|---|
| Publikationsdato | 9 feb. 2024 |
| Status | Udgivet - 9 feb. 2024 |
| Begivenhed | European Society for Sexual Medicine, Congress 2024 - Bari, Italien Varighed: 8 feb. 2024 → 10 feb. 2024 https://www.essm-congress.org/ |
Konference
| Konference | European Society for Sexual Medicine, Congress 2024 |
|---|---|
| Land/Område | Italien |
| By | Bari |
| Periode | 08/02/2024 → 10/02/2024 |
| Internetadresse |