INTRODUCTION: We compared the postoperative sexual function of @entity1 who underwent @entity2631 ( @entity2631 ) and glansectomy with urethral glanduloplasty for @entity5 . METHODS: We retrospectively reviewed clinical data of 41 @entity1 affected by superficial, localized @entity5 ( <=cT2a) between 2006 and 2013. @entity1 with severe @entity323 and not interested in resuming an active sexual life were selected for penile partial amputation. @entity1 with preoperative satisfying erectile function and concerned about the preservation of their sexual potency were scheduled for @entity2631 (Group A) or glansectomy with urethral glanduloplasty (Group B). Sexual function was assessed with the International Index of Erectile Function (IIEF) questionnaire and the Sex Encounter Profile (SEP). At 1 year, @entity1 were asked to complete the questionnaires again and were questioned about their genital sensibility and ejaculatory reflex persistence. @entity260 were reported according to the Clavien-Dindo classification. Statistical analysis was performed by two-tailed test: Student t-test and chi-square. RESULTS: Among the 41 @entity1 enrolled, 12 underwent @entity2631 (29.2%), 23 glansectomy with urethral glanduloplasty (56%) and 6 with penile partial amputation (14.6%). A decrease in postoperative IIEF was recorded in both groups, but was statistically significant only in Group B (p = 0.003). As for the SEP, while no significant changes were recorded postoperatively in Group A, a marked reduction was reported for Group B, with a statistically significant decrease in the possibility of achieving penetrative intercourse (p = 0.006) and in the perceived satisfaction during sexual activity (p = 0.004). CONCLUSIONS: @entity2631 lead to better sexual outcomes and @entity260 as compared to glansectomy with urethral glanduloplasty.

Sexual function after surgical treatment for XXXX : Which organ-sparing approach gives the best results?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity323 :: ('MESH:D007172', 'Disease') :: ['erectile dysfunction'] @entity5 :: ('MESH:D009369', 'Disease') :: ['penile cancer'] @entity260 :: ('MESH:D011183', 'Disease') :: ['less postoperative complications', 'Postoperative complications'] @entity2631 :: ('MESH:D012594', 'Disease') :: ['WLE', 'wide local excision']
@entity5 :: (MESH:D009369,Disease) :: ['penile cancer']
