Integrative assessment of sexual dysfunction in men after radical prostatectomy and their female partners

Penzhoyan A.G., Penzhoyan G.A., Pokrovskii V.M., Abushkevich V.G.

1) Regional Clinical Hospital No. 2 of Minzdrav of the Krasnodar Krai, Krasnodar, Russia; 2) Kuban State Medical University of Minzdrav of Russia, Krasnodar, Russia
Aim. To assess sexual function in men who underwent radical prostatectomy and their female partners using the Index of Regulatory Adaptive Status (IRAS).
Materials and methods. The study included healthy couples (n = 25) and couples (n = 50) in which male spouses underwent radical prostatectomy (RP) 6 months before. Men were surveyed using the IIEF-5, and QoL questionnaires and the FSFI was used to assess sexual function in women. IRAS was measured in all participants. Statistical analysis was performed using STATISTICA 10.
Results. Erectile dysfunction, as measured by IIEF-5, was identified in men after nerve-sparing RP. They also had reduced QoL and IRAS scores. IRAS was more informative showing 49.0% lower scores than in healthy men, while ICEF-5 and QOL were lower by 32.6% and 46.2%, respectively. In men after non-nerve-sparing RP IRAS, IIEF-5, and QOL scores were 85.6%, 78.2%, and 75% lower than in healthy men. ED in men resulted in female sexual dysfunction (FSD) in their wives. Their IRAS scores were more informative in estimating FSD than FSFI. In women without FSD IRAS was 48.8% lower than in women with FSD, while FSFI was lower by 23.4%.
Conclusion. The study findings suggest the feasibility of using IRAS to assess sexual dysfunction in men after radical prostatectomy and their female partners.

Keywords

sexual and erectile dysfunction

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Received 12.12.2019

Accepted 24.12.2019

About the Authors

Artyom G. Penzhoyan, candidate of medical sciences, head of the urology department No. 2 of the state budgetary healthcare institution “Regional Clinical Hospital No. 2
of the Ministry of Health of the Krasnodar Territory (6/2 Krasnykh Partizan St., Krasnodar, 350063, Russia) Tel.: 89882428662. E-mail.: Penjoyan@yandex.ru.
Grigory A. Penzhoyan, Doctor of Medical Sciences, Professor, Head of the Department of Obstetrics, Gynecology and Perinatology, Faculty of Continuing Education and Postgraduate Training of Specialists (Russia, 350063, Krasnodar, 6/2 Krasnykh Partizan St.) Тел 89882428662. Tel.: :8918-2-46-76-17,
e-mail.:pga05@mail.ru
Vladimir M. Pokrovsky, Doctor of Medical Sciences, Professor, Head of the Department of Normal Physiology of the Federal State Budgetary Educational Institution
of Higher Education “Kuban State Medical University” of the Ministry of Health of the Russian Federation (350063, Krasnodar, Sedina St., 4.) Tel.: 8988-2-46-16-71.
E-mail: PokrovskyVM@ksma.ru
Valery G. Abushkevich, Doctor of Medical Sciences, Professor, Professor of the Department of Normal Physiology of the Federal State Budgetary Educational Institution
of Higher Education “Kuban State Medical University” of the Ministry of Health of the Russian Federation (350063, Krasnodar, Sedina St., 4.)
Tel.: 8988-2-45-56-55. E-mail.: Abushkevich_v@mail.ru

For citation: Penzhoyan A.G., Penzhoyan G.A., Pokrovskii V.M., Abushkevich V.G. Integrative assessment of sexual dysfunction in men after radical prostatectomy and their female partners.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 1(Suppl): 117-120.(in Russian)
https://dx.doi.org/10.18565/aig.2020.1suppl.117-120
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