Dysfonction érectile apèr s prostatectomie totale : incidence, attente et vécu des patients

Abstract

The Repair study contains many data regarding the incidence of erectile dysfunction following radical prostatectomy, and the point of view of patients who undergo sexual disorders. First, it appears that 80% of patients are given information by their urologist before surgery about sexual consequences of radical prostatectomy. During the three months before surgery, 92% and 75% of patients who completed the questionnaires have had erections and sexual intercourse, respectively. Using the laparoscopic approach or the open technique for radical prostatectomy appears not to influence the incidence of erectile dysfunction following surgery that is 92%. Contrary to what the urologists report in the questionnaires, the patients consider erectile dysfunction more important than urinary disorders. In addition, 61% of patients report that they would like to be treated for erectile dysfunction during the first three months following surgery, which is earlier than the urologists consider. Finally, it appears in the Repair study that erectile function recovery is easier when patients are managed early after surgery for their sexual disorders.