Erectile function after partial penectomy for penile cancer
Int. braz. j. urol
; 47(3): 515-522, May-June 2021. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1154487
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT Purpose:
To evaluate the erectile function in patients who underwent partial penectomy and identify factors associated with penile functional status. Materials andMethods:
We identified patients who underwent partial penectomy due to penile cancer between 2009 and 2014. Clinical and pathological characteristics included patient age at the time of diagnosis, obesity, hypertension, dyslipidemia, diabetes, smoking, metabolic syndrome, Eastern Cooperative Oncology Group (ECOG) status, penile shaft length, tumor size, primary tumor stage (pT), clinical nodal status, and local recurrence. Erectile function was assessed prospectively with the International Index of Erectile Function (IIEF-5) at least 3 months after partial penectomy.Results:
A total of 81 patients met analysis criteria. At the diagnosis, the median age was 62 years (range from 30 to 88). Median follow-up was 17 months (IQR 7-36). Of total patients, 37 (45%) had T2 or higher disease. Clinically positive nodes were present in 16 (20%) patients and seven (8.6%) developed local recurrence. Fifty patients (62%) had erectile dysfunction (ED) after partial penectomy, 30% had moderate or severe erectile dysfunction scores. Patients with ED versus without ED were similar in baseline characteristics except for age, penile shaft length, and presence of inguinal adenopathy (p <0.05). Multivariate analysis using logistic regression confirmed that older patients, shorter penile shaft length, and clinically positive lymph node were significantly associated with ED.Conclusion:
Partial penectomy due to penile cancer provides adequate local control of the disease, however, proper counselling is important especially in relation to ED consequences. Preservation of penile length yields to more optimal erectile recovery.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Temas:
Geral
/
Prevenção e Fatores de Risco
/
Tabagismo
/
Tipos de Câncer
/
Outros Tipos
Base de dados:
LILACS
Assunto principal:
Neoplasias Penianas
/
Disfunção Erétil
Tipo de estudo:
Prognostic_studies
Limite:
Adulto
/
Idoso
/
Aged80
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Canadá
Instituição/País de afiliação:
Hospital do Câncer de Pernambuco/BR
/
McGill University/CA
/
Universidade Estadual de Pernambuco/BR
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