Michl et al evaluated men for sexual dysfunction after radical prostatectomy. They identified males who may require closer monitoring and more aggressive management. The authors are from the University of Hamburg in Germany.
Parameters:
(1) extent of nerve sparing procedure (unilateral vs bilateral)
(2) age of the patient in years
(3) preoperative score for the IIEF-5 (from 1 to 25)
Nerve Sparing
IIEF-5
Age in Years
Percent with Unaided Intercourse Postop
unilateral
< 19
<= 60 years
33%
unilateral
< 19
> 60 years
3.2%
unilateral
>= 19
<= 60 years
50%
unilateral
>= 19
> 60 years
33%
bilateral
< 19
<= 60 years
10%
bilateral
< 19
> 60 years
26%
bilateral
>= 19
<= 60 years
66%
bilateral
>= 19
> 60 years
61%
Failure to use a nerve-sparing procedure would significantly impair post-operative sexual function.
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