Does AUS affect sexual satisfaction after radical prostatectomy?

  • Urkmez A & al.
  • Andrologia
  • 17 Apr 2019

  • International Clinical Digest
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Takeaway

  • Artificial urinary sphincter (AUS) implantation may improve sexual satisfaction in men with total stress urinary incontinence (SUI) after radical prostatectomy.

Why this matters

  • Although AUS implantation is an effective treatment for SUI, little is known about postoperative erectile function and sexual satisfaction.

Study design

  • Researchers studied men who underwent AUS implantation via a perineal approach (N=14; mean age, 66.92±4.51 years; age range, 58-73 years).
  • They evaluated erectile function and sexual satisfaction both preoperatively and at 6‐month follow‐up, using International Index of Erectile Function (IIEF) questionnaires.
  • Funding: None disclosed.

Key results

  • After AUS implantation, 8 patients were totally dry, 4 achieved social continence (using
  • The mean preoperative IIEF score was 16.14±3.18; the mean follow-up score was 17.42±4.43.
  • The mean preoperative sexual satisfaction value was 8.57±1.78; mean follow-up value was 8.71±2.19.
  • Researchers found no significant difference between preprocedure and follow-up measures of erectile function and sexual satisfaction (P>.05), but hypothesize that controlling incontinence with AUS reduces sexual avoidance.

Limitations

  • The study was single center with a sample that was too small to support detailed statistical analysis.

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