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Paarsexualität 5 Jahre nach radikaler Prostatektomie

Sexualität von Patient und Partnerin bei 1 Jahr postoperativ sexuell aktiven Paaren

Sexuality of couples 5 years after radical prostatectomy

Sexuality of patients and their partners 1 year postoperatively in sexually active couples

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Zusammenfassung

Hintergrund

Erektionsstörungen nach radikaler Prostatektomie (RPx) beeinflussen nicht nur das Sexualleben der Patienten, sondern auch das ihrer Partnerinnen. In der vorliegenden Arbeit wurde die Sexualität von Paaren, die 12 Monate nach nervschonender RPx Geschlechtsverkehr (GV) haben, 60 Monate postoperativ reevaluiert.

Patienten und Methode

36 Patienten (♂) und deren Partnerinnen (♀), die präoperativ und 12 Monate nach nerverhaltender RPx GV hatten, wurden 60 Monate postoperativ Fragebögen zugesandt, die die Häufigkeit des GV, die Zufriedenheit mit dem Sexualleben, die Verwendung von Hilfsmitteln, sowie die Sexualfunktion [♂: „International Index of Erectile Function 5“ (IIEF-5), ♀: „Female Sexual Function Index“ (FSFI)] erfassten.

Ergebnisse

Bei einer Rücklaufquote von 83,3 % bestand das auswertbare Kollektiv aus 30 Paaren. 70,0 % der Paare hatten 60 Monate postoperativ GV. Die Paare, die 60 Monate postoperativ GV hatten, waren wesentlich zufriedener (12 und 60 Monate postoperativ), hatten mehr GV (präoperativ und 12 Monate postoperativ), höhere IIEF-5-Scores (12 Monate postoperativ) und häufiger bilateral nervschonende Operationen als Paare, die 60 Monate postoperativ keinen GV hatten. Sie benutzten nach 60 Monaten in 80,0 % der Fälle keine Hilfsmittel oder ausschließlich PDE-5-Inhibitoren. Die Partnerinnen waren postoperativ zufriedener mit dem Sexualleben als die Patienten selbst. Paare, bei denen der Mann nach 60 Monaten einen IIEF-5-Score ≥ 19 hatte, waren zufriedener, hatten häufiger GV pro Monat und die Partnerinnen hatten höhere FSFI-Scores als jene Paare mit einem IIEF-5-Score < 19.

Schlussfolgerung

Paare, die 12 Monate nach RPx wieder GV haben, können dies meist auch langfristig weiterführen. Paare, die langfristig GV haben, sind zufriedener und hatten schon präoperativ und 1 Jahr postoperativ häufiger GV.

Abstract

Background

Erectile dysfunction after radical prostatectomy (RPx) does affect the sexual life of patients and their partners. In our study, we evaluated sexual life over the long-term of 60 months following nerve-sparing (ns) RPx in couples who successfully performed sexual intercourse (SI) 12 months after surgery.

Patients and method

A total of 36 patients and their female partners who had SI prior to and 12 months after nsRPx were included in this study. Sixty months following nsRPx, couples were asked about frequency of SI, satisfaction of sexual life, usage of medical aid for erections, and sexual function [patients: IIEF-5 (International Index of Erectile Function), partners: FSFI (Female Sexual Function Index)].

Results

Thirty couples (83.3%) were available for follow-up. A total of 70% of couples performed SI 60 months after nsRPx. In contrast to couples who did not have SI 60 months after nsRPx, couples who successfully had SI were more satisfied, had SI more often, had higher IIEF-5 scores, and higher frequency of bilateral ns surgery. In 80% of those patients, no medical aid except PDE-5 inhibitors were used. The partners of those patients were more satisfied with their sexual life, compared to the patients themselves. Couples, in whom the patient had IIEF-5 scores ≥19 were more satisfied, had SI more often, and the partners had higher FSFI scores, compared to couples with patients’ IIEF-5 scores <19.

Conclusion

Couples who had successfully performed SI within 12 months following nsRPx continue to have satisfying SI in the long-term. Those couples are more satisfied with their sexual life and have SI more often prior to and 12 months after nsRPx.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. T.B. Jordan, R. Ernst, G. Hatzichristodoulou, A. Dinkel, T. Klorek, C. Beyrle, J.E. Gschwend und K. Herkommer geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik und Poliklinik für Urologie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81667, München, Deutschland

    T.B. Jordan, R. Ernst, G. Hatzichristodoulou, T. Klorek, C. Beyrle, J.E. Gschwend &  K. Herkommer

  2. Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Klinikum rechts der Isar, Technische Universität München, München, Deutschland

    A. Dinkel

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  1. T.B. Jordan
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  2. R. Ernst
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  3. G. Hatzichristodoulou
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  4. A. Dinkel
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  5. T. Klorek
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  6. C. Beyrle
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  7. J.E. Gschwend
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  8. K. Herkommer
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Correspondence to K. Herkommer.

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Jordan, T., Ernst, R., Hatzichristodoulou, G. et al. Paarsexualität 5 Jahre nach radikaler Prostatektomie. Urologe 54, 1407–1413 (2015). https://doi.org/10.1007/s00120-014-3755-2

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