Sexual life outcomes after radical cystectomy with external urinary derivation
Chaker, K.1; Sellami, A.2; Ouanes, Y.2; Ben Chehida , M.A.2; Abid, K.2; Ben Rhouma, S.2; Nouira , Y.2
1: Tunisia; 2: Tunisia
Introduction and objectives: The treatment of bladder cancer is an agressive surgery causing, by the insight’s modification and the non-continent character of urinary diversion, psychological disorders and damaged sexual life. The objective of this study is to evaluate quality of sexual life of patients with a cutaneous urinary diversion.
Methods: We carried out a retrospective study on 62 patients among 143 patients who underwent radical cystectomy (RC) with a cutaneous urinary diversion for bladder cancer in our institution between january 2007 and december 2013. We excluded female and dead patients, as well as patients with incomplete file informations. We studied the impact of the surgical treatment on libido, erection, orgasm and relationship with the partner.
Results: The mean age was 62 years old. The mean interval since the operation was 6 years. 98.4% of patients had a normal sexual live before surgery with a mean IIEF-5 score of 24. After RC, 96.7% of patients presented with sexual dysfunction. Only 7 patients had satisfying erection. 66.1% of patients were unable to achieve orgasm. The relation with partner is highly altered in most cases (85.5%). Average postoperative IIEF-5 score was 3.
Conclusion: The survey showed an altered sexual life after RC. The non continent urinary diversion does not help people to reintegrate the social and sexual life. That is why it is important to explain clearly the repercussion of this type of surgery before undertaking any therapeutic steps.
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