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

Andrea Salonia, Giuseppe Zanni, Andrea Gallina, Alberto Briganti, Antonino Saccà, Nazareno Suardi, Rayan Matloob, Luigi F. Da Pozzo, Roberto Bertini, Renzo Colombo, Patrizio Rigatti, Francesco Montorsi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Introduction.: Investigating preoperative sexual function of patients with prostate cancer (PCa) and their partners is needed for realistic functional outcome analyses after radical prostatectomy (RP). Aim.: To assess pre-RP sexual health issues of PCa patients and their partners in a stable heterosexual relationship. Methods.: 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. Main Outcome Measures.: 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. Results.: 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 <0.0001). Only 82 in 1,171 (7.0%) partners completed the FSFI over Period 2. Moreover, only 6 in 82 (7.3%) of women provided complete data. Conclusions.: The investigation of sexual health issues of both partners prior to RP is largely unsuccessful. In this context, the prevalence of incomplete data collection is high, and these results demonstrate that contemporaneously investigating the sexual health issues of both partners significantly increases the prevalence of incomplete data collection.

Original languageEnglish
Pages (from-to)3347-3355
Number of pages9
JournalJournal of Sexual Medicine
Volume6
Issue number12
DOIs
Publication statusPublished - Dec 2009

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Reproductive Health
Psychometrics
Prostatic Neoplasms
Prostatectomy
Surveys and Questionnaires
Heterosexuality
Outcome Assessment (Health Care)

Keywords

  • Couple
  • FSFI
  • IIEF
  • Prostate Cancer
  • Prostatectomy
  • Sexual Function

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynaecology
  • Reproductive Medicine
  • Medicine(all)

Cite this

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. / 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.

In: Journal of Sexual Medicine, Vol. 6, No. 12, 12.2009, p. 3347-3355.

Research output: Contribution to journalArticle

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abstract = "Introduction.: Investigating preoperative sexual function of patients with prostate cancer (PCa) and their partners is needed for realistic functional outcome analyses after radical prostatectomy (RP). Aim.: To assess pre-RP sexual health issues of PCa patients and their partners in a stable heterosexual relationship. Methods.: 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. Main Outcome Measures.: 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. Results.: 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 <0.0001). Only 82 in 1,171 (7.0{\%}) partners completed the FSFI over Period 2. Moreover, only 6 in 82 (7.3{\%}) of women provided complete data. Conclusions.: The investigation of sexual health issues of both partners prior to RP is largely unsuccessful. In this context, the prevalence of incomplete data collection is high, and these results demonstrate that contemporaneously investigating the sexual health issues of both partners significantly increases the prevalence of incomplete data collection.",
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AU - Zanni, Giuseppe

AU - Gallina, Andrea

AU - Briganti, Alberto

AU - Saccà, Antonino

AU - Suardi, Nazareno

AU - Matloob, Rayan

AU - Da Pozzo, Luigi F.

AU - Bertini, Roberto

AU - Colombo, Renzo

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AU - Montorsi, Francesco

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