Objective: Erectile dysfunction (ED) is a common complication
after radical retropubic prostatectomy (RRP). However, there is
little information about baseline potency and desire to preserve
sexual activity in Chinese patients undergoing RRP. This study
was designed to assess the baseline potency and desire to
preserve sexual function after RRP in Chinese patients with
prostate cancer (PCa).
Methods: A comprehensive medical and sexual history of 187
evaluable PCa patients for RRP was obtained prior to surgery.
Baseline potency was assessed with the abridged 5-item version
of International Index of Erectile Function (IIEF-5). The desire
to preserve sexual activity and interests to see a doctor when
diagnosed with ED after RRP were described and compared.
Results: The mean age of these patients was 65.6 years (range
48-79 years). Of all patients, 75.4% (n=141) were sexually active
before RRP, 26.2% (n=37) were potent, whereas 34.8% (n=49)
reported mild, 27% (n=38) mild to moderate, 9.2% (n=13)
moderate, and 2.8% (n=4) severe ED. In addition, 65.2% (n=122)
and 42.8% (n=80) of these patients had desire to preserve sexual activity when diagnosed with ED after RRP, respectively. Patients
with ED were significantly older (P<0.05), had less desire to
persevere sexual activity (P<0.05), and less interests to see a
Conclusions: Nearly 3/4 Chinese patients diagnosed with PCa
experiences some degree of baseline ED before RRP. However,
quite a few patients are still interested to preserve sexual activity
when diagnosed with ED after RRP.