Quality-of-life after penile prosthesis placed at radical prostatectomy |
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Authors: | Carolyn E. Schwartz Sc.D. Nicholas Covino Psy.D. Abraham Morgentaler M.D. William DeWolf M.D. |
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Affiliation: | 1. Frontier Science &2. Technology Research Foundation, Inc. , Chestnut Hill, MA;3. Department of Psychiatry Beth Israel Deaconess Medical Center , Harvard Medical School;4. Division of Urology, Department of Surgery Beth Israel Deaconess Medical Center , Harvard Medical School |
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Abstract: | Abstract The clinical and psychosocial effects of immediate penile prosthesis implantation at the time of radical prostatectomy (RP) were investigated in 97 consecutive patients and 68 partners. Prosthesis recipients reported more frequent sexual contact, fewer marital problems and slightly fewer sexual functioning problems than the RP-alone patients. There were no group differences on any sociodemographic characteristics, on disease recurrence, on physical and psychosocial functioning, or on reported depression. Patients who chose the prosthesis did, however, evidence less of a link between depression and functional limitations and between depression and marital problems. They also had lower levels of agreement with their partners in reporting their own depression, as compared to the patients who opted for RP surgery alone. We conclude that the penile prosthesis was associated with an increased frequency of sexual contact, a reduction in reported marital problems, and stylistic differences between the two patient groups in dealing with affect. |
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Keywords: | Prostate cancer sexual rehabilitation penile prosthesis quality of life response shift |
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