Abstract | PURPOSE: We evaluate sexual function, sexual satisfaction and cosmetic results after laser treatment of penile carcinoma. MATERIALS AND METHODS: A total of 67 patients were treated at our clinic for penile cancer using combined carbon dioxide and neodymium: YAG lasers from 1986 to 2000. At the time of this study 58 men, with a mean age of 64 years were alive, of whom 46 (79%) agreed to participate in a structured face-to-face interview addressing sexual function, sexual satisfaction and cosmetic results. The length of time that had elapsed since treatment ranged from 6 months to 15 years (median 3 years). RESULTS: Of 40 patients (87%) who had been sexually active before treatment 30 (75%) had resumed activities at the time of the interview. Unaltered erectile function after treatment was reported by 33 patients (72%), 10 patients (22%) reported decreased function and 3 (6%) reported improved function. Of the 46 patients 23 (50%) were satisfied/very satisfied with their sexual life. After treatment only 3 of 30 (10%) of the evaluable men had dyspareunia. The cosmetic results were considered satisfying/very satisfying by 36 (78%) men. CONCLUSIONS:
Laser treatment of localized penile carcinoma preserves the penis and generally provides satisfactory sexual function and cosmetic results.
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Authors | T Windahl, E Skeppner, S-O Andersson, K S Fugl-Meyer |
Journal | The Journal of urology
(J Urol)
Vol. 172
Issue 2
Pg. 648-51
(Aug 2004)
ISSN: 0022-5347 [Print] United States |
PMID | 15247753
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Aged
- Ejaculation
- Humans
- Laser Therapy
- Male
- Middle Aged
- Pain
(epidemiology)
- Penile Erection
- Penile Neoplasms
(epidemiology, therapy)
- Personal Satisfaction
- Sexual Behavior
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