Kontogiannis Stavros, Natsos Anastasios, Obaidat Mohammed, Adamou Konstantinos, Liatsikos Evangelos, Drettas Petros

(199) “THE ABSENCE OF ORGASM POST-OPERATIVELY IS ASSOCIATED WITH EXTRA-CAPSULAR DISEASE IN RADICAL PROSTATECTOMY PATIENTS: A STUDY OF A SEXUAL REHABILITATION CLINIC”

  • Urology
  • Reproductive Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism
  • Psychiatry and Mental health
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Abstract Objectives After radical prostatectomy, sexual dysfunction concerns not only erectile but orgasmic function, as well. The absence of orgasm affects the patients’ quality of life and can motivate them to seek sexual treatment after surgery. Our aim was to study the orgasm frequency after radical prostatectomy and investigate any associations with the pathologic and psychosocial characteristics of the patients. Methods We studied retrospectively patients who visited our Sexual Rehabilitation Clinic after radical prostatectomy during the last 18 months. During the first evaluation 2 months post-operatively, we asked if the patient had experienced orgasm during penetrative sex or during masturbation. Following the biopsychosocial model of sexual dysfunctions, the patients filled in two questionnaires: the International Index of Erectile Function-5 (IIEF-5) questionnaire before and after surgery and the Hospital Anxiety and Depression Scale (HADS) after surgery. Extra-capsular prostatic disease was defined as pT3 according to the TNM classification. Results Seventy patients were studied with an average age and PSA of 65.7 years and 9.4 ng/dl, respectively. The percentage of patients with pT3 disease was 62.8%. The average of IIEF-5 was 20.2 pre-op and 6.5 post-op. The average HADS sub-scales scores were 7.4 for anxiety and 5.8 for depression. More than half (of the patients (51.4 %) had experienced orgasm after surgery. The absence of orgasm was associated with older age (p=0.022), the absence of morning erections (p=0.009), the absence of masturbation post-op (p=0.009) and with extra-capsular disease (pT3) of prostate cancer (p=0.040). Conclusions The absence of orgasm is associated with extra-capsular prostatic disease and with older age. Due to the importance of orgasm in the sexual rehabilitation after surgery, clinicians should be more aware of the orgasmic dysfunction in patients with these characteristics. Conflicts of Interest No conflict of interest.

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