The SOMA (Subjective, Objective, Management, Analytic) – LENT (Late Effects of Normal Tissue) scoring system can be used to evaluate a man with sexual dysfunction occurring as a complication following radiation and chemotherapy.
Subjective measures:
(1) erectile function for vaginal penetration
(2) dryness
(3) desire
(4) satisfaction
Objective measures:
(1) frequency
(2) orgasm
Management measures:
(1) impotence
Analytic studies:
(1) Psychosocial: To evaluate the quality of life and sexual satisfaction.
If no toxicity is present, then the 0 points are assigned.
If a toxicity is present, then the grade indicates the number of points to assign.
|
|
Grade 1 |
Grade 2 |
Grade 3 |
Grade 4 |
|
erectile function |
occasionally insufficient |
intermittently insufficient |
not sufficient |
impotent |
|
dryness |
occasional |
intermittent |
persistent |
refractory |
|
desire |
occasional |
intermittent |
seldom |
never |
|
satisfaction |
occasional |
intermittent |
seldom |
never |
|
frequency |
NA |
decreased from normal |
rare |
never |
|
orgasm |
occasional |
intermittent |
seldom |
never |
|
impotence management |
NA |
medical intervention |
surgical intervention |
NA |
total score =
= SUM(points for all 7 items)
LENT score =
= (total score) / 7
Interpretation:
• maximum total score: 27
• minimum LENT score: 0
• maximum LENT score: 3.86
Specialty: Hematology Oncology, Urology
