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[Erectile function and sexuality of partners after radical prostatectomy with robotics versus manual laparoscopy: long-term assessment].
Prog Urol. 2013 Jan; 23(1):42-9.PU

Abstract

OBJECTIVE

To compare the long-term sexual outcome of laparoscopic radical prostatectomy (LRP) vs robot-assisted laparoscopic prostatectomy (RALP).

PATIENTS AND METHODS

A questionnaire was sent to the 412 patients treated by the same surgeon by LRP or RALP from March 2004 to July 2009. Ninety-six patients were evaluated preoperatively with a good erectile function before surgery and a follow-up more than 24 months. Erectile function was evaluated by the IIEF-5, the QLQ-C30 PR25 questionnaires. Partner's sexuality was evaluated with a FSFI's based questionnaire.

RESULTS

There was no significant difference before surgery between two groups LRP and RALP. After surgery, the IIEF-5 without any treatment was better in RALP group than in LRP group (P=0.025). When a bilateral nerve sparing was performed, the IIEF-5 maximum was better in RALP group (P=0.002). For the partners, there was no difference between the two techniques and it appeared that communication about sexuality is the less altered, long time after a radical prostatectomy.

CONCLUSIONS

In case of bilateral nerve sparing prostatectomy, an experimented operator in laparoscopic surgery should have better long-term erectile function results with RALP than LRP. Partner's sexuality modifications need more prospective studies to know its influence on erectile rehabilitation.

Authors+Show Affiliations

Service d'urologie, bocage central, 14, rue Gafarel, 21000 Dijon, France. nordine@deffar.infoNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

fre

PubMed ID

23287483

Citation

Deffar, N, et al. "[Erectile Function and Sexuality of Partners After Radical Prostatectomy With Robotics Versus Manual Laparoscopy: Long-term Assessment]." Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, vol. 23, no. 1, 2013, pp. 42-9.
Deffar N, Koutlidis N, Cormier L. [Erectile function and sexuality of partners after radical prostatectomy with robotics versus manual laparoscopy: long-term assessment]. Prog Urol. 2013;23(1):42-9.
Deffar, N., Koutlidis, N., & Cormier, L. (2013). [Erectile function and sexuality of partners after radical prostatectomy with robotics versus manual laparoscopy: long-term assessment]. Progres En Urologie : Journal De l'Association Francaise D'urologie Et De La Societe Francaise D'urologie, 23(1), 42-9. https://doi.org/10.1016/j.purol.2012.09.004
Deffar N, Koutlidis N, Cormier L. [Erectile Function and Sexuality of Partners After Radical Prostatectomy With Robotics Versus Manual Laparoscopy: Long-term Assessment]. Prog Urol. 2013;23(1):42-9. PubMed PMID: 23287483.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Erectile function and sexuality of partners after radical prostatectomy with robotics versus manual laparoscopy: long-term assessment]. AU - Deffar,N, AU - Koutlidis,N, AU - Cormier,L, Y1 - 2012/10/25/ PY - 2012/07/28/received PY - 2012/08/05/revised PY - 2012/09/09/accepted PY - 2013/1/5/entrez PY - 2013/1/5/pubmed PY - 2013/8/31/medline SP - 42 EP - 9 JF - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JO - Prog Urol VL - 23 IS - 1 N2 - OBJECTIVE: To compare the long-term sexual outcome of laparoscopic radical prostatectomy (LRP) vs robot-assisted laparoscopic prostatectomy (RALP). PATIENTS AND METHODS: A questionnaire was sent to the 412 patients treated by the same surgeon by LRP or RALP from March 2004 to July 2009. Ninety-six patients were evaluated preoperatively with a good erectile function before surgery and a follow-up more than 24 months. Erectile function was evaluated by the IIEF-5, the QLQ-C30 PR25 questionnaires. Partner's sexuality was evaluated with a FSFI's based questionnaire. RESULTS: There was no significant difference before surgery between two groups LRP and RALP. After surgery, the IIEF-5 without any treatment was better in RALP group than in LRP group (P=0.025). When a bilateral nerve sparing was performed, the IIEF-5 maximum was better in RALP group (P=0.002). For the partners, there was no difference between the two techniques and it appeared that communication about sexuality is the less altered, long time after a radical prostatectomy. CONCLUSIONS: In case of bilateral nerve sparing prostatectomy, an experimented operator in laparoscopic surgery should have better long-term erectile function results with RALP than LRP. Partner's sexuality modifications need more prospective studies to know its influence on erectile rehabilitation. SN - 1166-7087 UR - https://www.unboundmedicine.com/medline/citation/23287483/[Erectile_function_and_sexuality_of_partners_after_radical_prostatectomy_with_robotics_versus_manual_laparoscopy:_long_term_assessment]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1166-7087(12)00544-1 DB - PRIME DP - Unbound Medicine ER -