sodium-ethylxanthate and Penile-Neoplasms

To evaluate sexuality after successful treatment of penile cancer.. Post-therapy sexuality was evaluated in 30 men (median age 57 years; range 28-75) treated for cancer of the penis 80 months previously (median; range: 11-225 months). Treatment regimes were: local excision/laser beam treatment, 5; definitive radio-therapy, 12; partial penectomy, 9; total penectomy, 4. Patients underwent a semi-structured interview and completed three self-administered questionnaires (psychosocial adjustment to severe illness [PAIS], mental symptoms [GHQ], quality of life [EORTC QLQ C-30]). A global score of overall sexual functioning was constructed consisting of sexual interest, sexual ability, sexual satisfaction, sexual identity, partner relationship and frequency of coitus.. In 10 of 12 patients treated by irradiation the sexual global score was not or only slightly reduced compared with two of nine patients after partial penectomy and one of five patients with local surgery/laser beam treatment. All four patients who had undergone total penectomy recorded a severely reduced sexual global score. Of the six single domains, sexual identity and partner relationship did not change with increasing age, whereas the other scores of sexual life deteriorated as the patient became older. In the patients treated by irradiation doctors evaluated the patients' post-treatment sexuality to be more impaired than that experienced by the patients.. Within the limitations due to the small number of patients studied, radiotherapy seems to be the treatment of choice in limited cancer of the penis if preservation of sexuality is a major therapeutic aim. Physicians counselling patients with this rare malignancy need more information about treatment-related problems of sexuality after different therapeutic modalities.

Topics: Adult; Age Factors; Aged; Attitude of Health Personnel; Attitude to Health; Follow-Up Studies; Humans; Male; Middle Aged; Penile Neoplasms; Penis; Postoperative Complications; Sex; Sexual Dysfunction, Physiological

A male aged 45 was subjected to total penis amputation because of a penile carcinoma; a perineal urethral stoma was created. The postoperative course was uneventful. One month after the last operation the patient for the first time felt the need for sexual contact, but his wife hesitated. After medical-sexological counselling, the partners achieved satisfactory sexual functioning with the husband occasionally having an orgasm.

Topics: Amputation, Surgical; Humans; Male; Middle Aged; Penile Neoplasms; Sex; Sex Counseling

With the advent of effective treatment for urologic cancer, the preservation of sexual function and fertility has become an important goal. Some cancer treatments damage the physiological systems involved in reproduction. All have a psychological impact on sexuality. For men with prostate cancer, current issues in sexual rehabilitation include the debate on nerve-sparing radical prostatectomy, the role of vascular damage in causing erectile dysfunction after radiotherapy, and the need for a better understanding of hormonal effects on central and peripheral mechanisms of sexual function. In the treatment of men and women with bladder cancer, the sexual function morbidity of radical cystectomy is described in data from prospective interview studies. Sexual desire and orgasm remain normal after surgery despite disruption of the genital vasocongestion accompanying sexual arousal. Long-term follow-up studies of testicular cancer patients suggest that some increase in sexual dysfunction does occur. Infertility remains a concern for a subgroup of younger, childless men. Attempts to modify or eliminate retroperitoneal lymphadenectomy are discussed, as is recovery of spermatogenesis after chemotherapy and radiotherapy. Sexual function in patients with penile, urethral, or renal cell carcinoma is briefly reviewed.

Topics: Adult; Counseling; Dysgerminoma; Female; Fertility; Genital Neoplasms, Male; Humans; Kidney Neoplasms; Male; Middle Aged; Neoplasms, Germ Cell and Embryonal; Penile Neoplasms; Prostatectomy; Prostatic Neoplasms; Sex; Testicular Neoplasms; Urinary Bladder Neoplasms; Urogenital Neoplasms

Topics: Adult; Circumcision, Male; Humans; Hygiene; Male; Penile Neoplasms; Sex

Topics: Adolescent; Adult; Child; Humans; Male; Papilloma; Penile Diseases; Penile Neoplasms; Sex

Topics: Alcoholism; Breast Neoplasms; Erectile Dysfunction; Female; Humans; Male; Penile Neoplasms; Sex; Sex Education

Topics: Aged; Carcinoma; Female; Humans; Male; Middle Aged; Neoplasm Metastasis; Penile Neoplasms; Phimosis; Sex; Sexually Transmitted Diseases; Vulvar Lichen Sclerosus; Vulvar Neoplasms

Topics: Aging; Burkitt Lymphoma; Gastrointestinal Neoplasms; Humans; Laryngeal Neoplasms; Liver Neoplasms; Lung Neoplasms; Lymphoma; Male; Mozambique; Neoplasms; Paranasal Sinus Neoplasms; Penile Neoplasms; Sex; Urinary Bladder Neoplasms