Surgical and non-surgical predictors of long term erectile function after robot assisted radical prostatectomy

• Published in: Supportive care in cancer 2024-11, Vol.32 (11), p.738, Article 738
• Main Authors: CN, Tillier, IL, Cox, MJ, Hagens, MPJ, Nicolai, HAM, van Muilekom, PJ, van Leeuwen, de Poll-Franse LV, van, der Poel HG, van
• Format: Article
• Language: English
• Subjects: Aged; Body mass index; Comorbidity; Erectile dysfunction; Erectile Dysfunction - etiology; Exercise; Follow-Up Studies; Health risks; Humans; Lower Urinary Tract Symptoms - etiology; Male; Medicine; Medicine & Public Health; Mens health; Middle Aged; Nursing; Nursing Research; Oncology; Pain Medicine; Patient Reported Outcome Measures; Personal relationships; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Prostate cancer; Prostatectomy - adverse effects; Prostatectomy - methods; Prostatic Neoplasms - surgery; Recovery of Function; Rehabilitation Medicine; Robotic Surgical Procedures - adverse effects; Robotic Surgical Procedures - methods; Smoking; Surveys and Questionnaires; Urological surgery
• ISSN: 0941-4355; 1433-7339; 1433-7339
• DOI: 10.1007/s00520-024-08936-y

Purpose Robotic-assisted radical prostatectomy (RARP) impairs erectile function (EF) due to the surgical procedure and non-surgical factors. Non-surgical factors may contribute to recovery of erectile function (EFR) after RARP. This study assessed the role of non-surgical factors including physical activity in baseline EF and EFR after prostatectomy. Methods Patient Reported Measure Outcomes questionnaires from patients with localized prostate carcinoma who underwent a RARP with a postoperative follow up (FU) of 3 years. EFR was defined as at least 70% EF recovery of baseline IIEF-EF. Physical activities was defined as no activity at all, once a week and ≥ 2 a week. Results In total 804 patients were included. At baseline, age, lower urinary tract symptoms (LUTS), having a partner and former smoking were significantly associated ( p