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| Study on Sexual Function and Social Psychological Status after Partial Penectomy in Penile Cancer Patients |
| TIAN Qi-wei, HU Xi-heng, LI Yang-le |
| Department of Urology, Changde First Hospital of Traditional Chinese Medicine, Changde, Hunan,415000 |
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Abstract 【Objective】 To evaluate the sexual function and social psychological status after partial penectomy due to penile cancer, and explore the relationship of sexual dysfunction with anxiety and depression in penile cancer patients after partial penectomy.【Methods】 Between December 2015 and January 2020, a total of 96 patients treated with partial penectomy due to penile cancer in our hospital were prospectively analyzed in the study. Sexual function (International Erectile Function Index Questionnaire, IIEF-15), age, body mass index (BMI) , penile length(PL)in the flaccid state after partial penectomy, surgical method (partial penectomy or partial penectomy combined with bilateral inguinal lymph node dissection) and psychological factors (Self-rating Anxiety Scale/SAS and Self-Rating Depression Scale/ SDS scores) were assessed. The IIEF-15, SAS and SDS scores of preoperative and postoperative were compared. Univariate and multivariate linear regression analyses were performed.【Results】 Ninety-six patients were included in our study. The median age was 58 years old, and the median penis length (PL) was 4.3 cm. The preoperative IIEF-15, SAS and SDS scores were significantly different from the postoperative scores. Postoperative erectile function, orgasm ability, sexual desire, satisfaction with sexual life and overall satisfaction were significantly lower than those before surgery, and SAS and SDS scores were significantly higher than those before surgery. There was no statistically significant difference in the IIEF-15 scores of patients treated with partial penectomy and partial penectomy + bilateralinguinal lymph node dissection. Erectile function, orgasmic ability, sexual desire, and intercourse satisfaction were negatively associated with SAS/SDS score. Results also showed that erectile function, sexual desire, and overall satisfaction were negatively associated with age, while intercourse satisfaction was positively associated with PL.【Conclusion】 The sexual function of patients with penile cancer decreases after partial penectomy, and the degree of anxiety and depression increase in patients after surgery. The sexual function of penile cancer patients after partial penectomy was negatively correlated with anxiety and depression. In addition, the sexual function was negatively affected by age but positively correlated with postoperative penis length.
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Received: 04 September 2020
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2020, Vol. 37 
