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dc.contributor.authorMoon, Daniel-
dc.contributor.authorPillay, Brindha-
dc.contributor.authorCrowe, Helen-
dc.contributor.authorWootten, Addie-
dc.contributor.otherLove, Christopher-
dc.contributor.otherMeyer, Denny-
dc.contributor.otherFerguson, Emma-
dc.contributor.otherHoward, Nicholas-
dc.contributor.otherMann, Sarah-
dc.identifier.citationJ Sex Med. 2017 Oct 27. pii: S1743-6095(17)31446-7en_US
dc.description.abstractBackground Penile prosthesis surgery is last-line treatment to regaining erectile function after radical prostatectomy (RP) for localized prostate cancer. Aims To assess quality of life, psychological functioning, and treatment satisfaction of men who underwent penile implantation after RP; the psychosocial correlates of treatment satisfaction and sexual function after surgery; and the relation between patients’ and partners’ ratings of treatment satisfaction. Methods 98 consecutive patients who underwent penile implantation after RP from 2010 and 2015 and their partners were invited to complete a series of measures at a single time point. Of these, 71 patients and 43 partners completed measures assessing sexual function, psychological functioning, and treatment satisfaction. Proportions of patients who demonstrated good sexual function and satisfaction with treatment and clinical levels of anxiety and depression were calculated. Hierarchical regression analyses were conducted to determine psychosocial factors associated with patient treatment satisfaction and sexual function and patient-partner differences in treatment satisfaction. Outcomes Patients completed the Expanded Prostate Cancer Index Composite Short Form (EPIC-26), Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS), Prostate Cancer-Related Quality of Life Scale, Self-Esteem and Relationship Questionnaire (SEAR), Generalized Anxiety Disorder–7 (GAD-7), and Patient Health Questionnaire–9 (PHQ-9). Partners completed the GAD-7, PHQ-9, EDITS (partner version), and SEAR. Results 94% of men reported satisfaction with treatment (EDITS score > 50). 77% of men reported good sexual function (EPIC-26 score > 60). Lower depression scores were associated with higher sexual confidence and sexual intimacy, and these were correlated with better treatment satisfaction and sexual function. Patients experienced higher sexual relationship satisfaction (median score = 90.6) than their partners (median score = 81.2), but there was no difference in treatment satisfaction between groups. Higher patient treatment satisfaction was more likely to be reported for couples whose depression scores were more similar. Clinical Implications It is important to provide preoperative penile implant counseling and encourage patients to seek postoperative counseling if needed. Strengths and Limitations This is one of the first Australian-based studies comprehensively assessing treatment satisfaction and psychosocial health of men after penile prosthesis surgery after RP. This was a retrospective cross-sectional study, so there is a possibility of recall bias, and causal associations could not be determined. Conclusion Men in this Australian series who underwent penile prosthesis surgery after RP generally reported good sexual function and treatment satisfaction. Nevertheless, patient and partner mental health influenced their reported experience of the treatment.en_US
dc.subjectPenile Prosthesis Surgeryen_US
dc.subjectRobot-Assisted Radical Prostatectomyen_US
dc.subjectSexual Functionen_US
dc.subjectQuality of Lifeen_US
dc.subjectTreatment Satisfactionen_US
dc.subjectAustralian Prostate Cancer Research, North Melbourne, VIC, Australiaen_US
dc.subjectPsychological Functioningen_US
dc.subjectErectile Functionen_US
dc.subjectRadical Prostatectomyen_US
dc.subjectLocalized Prostate Canceren_US
dc.subjectPenile Implantationen_US
dc.subjectPsychosocial Factorsen_US
dc.subjectExpanded Prostate Cancer Index Composite Short Formen_US
dc.subjectErectile Dysfunction Inventory of Treatment Satisfactionen_US
dc.subjectProstate Cancer-Related Quality of Life Scaleen_US
dc.subjectSelf-Esteem and Relationship Questionnaireen_US
dc.subjectGeneralized Anxiety Disorder-7en_US
dc.subjectPatient Health Questionnaire-9en_US
dc.subjectUroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectEpworth Prostate Centre, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectAustralian Prostate Cancer Research Centre Epworth HealthCare, Victoria, Australiaen_US
dc.titleQuality of life, psychological functioning, and treatment satisfaction of men who have undergone penile prosthesis surgery following robot-assisted radical prostatectomy.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleThe Journal of Sexual Medicineen_US
dc.description.affiliatesThe Royal Melbourne Hospital, Parkville, VIC, Australiaen_US
dc.description.affiliatesAustralian Urology Associates, Melbourne, VIC, Australiaen_US
dc.description.affiliatesUniversity of Melbourne, Parkville, VIC, Australiaen_US
dc.description.affiliatesBayside Urology, Mentone, VIC, Australiaen_US
dc.description.affiliatesSwinburne University, Hawthorn, VIC, Australiaen_US
dc.type.studyortrialCross-Sectional Studyen_US
Appears in Collections:Cancer Services
UroRenal, Vascular
Epworth Prostate Centre

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