Unsuccessful Investigation of Preoperative Sexual Health Issues in the Prostate Cancer “Couple”: Results of a Real‐Life Psychometric Survey at a Major Tertiary Academic Center

• Published in: Journal of sexual medicine 2009-12, Vol.6 (12), p.3347-3355
• Main Authors: Salonia, Andrea, Zanni, Giuseppe, Gallina, Andrea, Briganti, Alberto, Saccà, Antonino, Suardi, Nazareno, Matloob, Rayan, Da Pozzo, Luigi F., Bertini, Roberto, Colombo, Renzo, Rigatti, Patrizio, Montorsi, Francesco
• Format: Article
• Language: English
• Subjects: Academic Medical Centers; Adult; Aged; Couple; Erectile Dysfunction - diagnosis; Erectile Dysfunction - etiology; Female; FSFI; Humans; IIEF; Male; Middle Aged; Preoperative Care; Prostate Cancer; Prostate-Specific Antigen - blood; Prostatectomy; Prostatic Neoplasms - complications; Prostatic Neoplasms - psychology; Prostatic Neoplasms - surgery; Psychometrics; Severity of Illness Index; Sexual Function; Sexual Partners - psychology; Surveys and Questionnaires
• ISSN: 1743-6095; 1743-6109
• DOI: 10.1111/j.1743-6109.2009.01483.x

Investigating preoperative sexual function of patients with prostate cancer (PCa) and their partners is needed for realistic functional outcome analyses after radical prostatectomy (RP). To assess pre‐RP sexual health issues of PCa patients and their partners in a stable heterosexual relationship. Data were analyzed from 3,282 consecutive patients who underwent RP over a three‐period survey. During Period 1, on admission to the hospital the day prior to surgery, 1,360 patients were asked to complete the International Index of Erectile Function (IIEF). During Period 2, 1,171 patients were asked to complete the preoperative IIEF; similarly, patients' partners were invited to complete the Female Sexual Function Index (FSFI). Lastly, during Period 3, only candidates for RP were asked to fill in the IIEF. To assess the rate of patients who completed the questionnaire during the three‐period survey. To detail the proportion of patients' partners who filled in the questionnaire, along with the partners' reasons for non‐adherence to the proposed investigation during Period 2. A small rate of men completed the IIEF during Period 1 (583 in 1,360 [42.9%]), Period 2 (290 in 1,171 [24.8%]), and Period 3 (261 in 751 [34.8%]) (χ2 trend: 13.06; P = 0.0003). In this context, a significantly lower proportion of patients completed the questionnaire during Period 2, as compared with both Period 1 (χ2: 95.13; P = 0.0001) and Period 3 (χ2: 21.87; P