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A Prospective Study Measuring Penile Length in Men Treated With Radical Prostatectomy for Prostate Cancer

2003; Lippincott Williams & Wilkins; Volume: 169; Issue: 4 Linguagem: Inglês

10.1097/01.ju.0000053720.93303.33

1527-3792

Marc Savoie, Sandy S. Kim, Mark S. Soloway,

Sexual function and dysfunction studies

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Apr 2003A Prospective Study Measuring Penile Length in Men Treated With Radical Prostatectomy for Prostate Cancer MARC SAVOIE, SANDY S. KIM, and MARK S. SOLOWAY MARC SAVOIEMARC SAVOIE , SANDY S. KIMSANDY S. KIM , and MARK S. SOLOWAYMARK S. SOLOWAY View All Author Informationhttps://doi.org/10.1097/01.ju.0000053720.93303.33AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Some patients report that the penis is smaller after radical retropubic prostatectomy for prostate cancer. We performed a prospective study which measured penile length before and after radical retropubic prostatectomy. Materials and Methods: A total of 124 men consented to penile measurements before radical prostatectomy performed by the same surgeon. Repeat measurements were performed at 3-month intervals following surgery. Penile measurements (cm.) consisted of flaccid length, stretched length, depth of prepubic fat pad and circumference. Statistical analysis of penile measurements was performed using the paired samples and independent Student's t test, Pearson's correlation and analysis of variance. Results: Mean patient age was 59.1 (range 42 to 76). No patient had a penile abnormality, for example Peyronie's disease, or history of penile or urethral surgery. The size of the penis was significantly smaller after prostatectomy, and there was a significant difference for flaccid (p <0.001), stretched (p <0.001), prepubic fat pad (p = 0.02) and circumference measurements (p <0.01). Twelve patients (19%) had a 15% or greater decrease in stretched penile length. When dichotomizing groups at the cut point of 15% decrease, the independent t test of prostate size was not significant (t[df 36.7] = −1.83, p = 0.076). Nerve sparing was not significant in relation to change in penile stretched length, (F[df 2, 62] = 0.501, p = 0.609). Conclusions: Our findings support observations of decreased penile length after radical prostatectomy. Men should be counseled before radical prostatectomy that penile shortening may occur. References 1 : SEER Cancer Statistic Review, 1973–1994. National Institutes of Health Publication No. 97-2789. Bethesda, Maryland: National Cancer Institute1997. Google Scholar 2 Penson, D.F., Litwin, M.S.: Quality of life issues in patients with prostate cancer. AUA Update Series, vol. XX, lesson 3 Google Scholar 3 : Pilot study of changes in stretched penile length 3 months after radical retropubic prostatectomy. Urology2001; 58: 567. Google Scholar 4 : Penile fibrotic changes after radical retropubic prostatectomy. BJU Int2000; 85: 101. Google Scholar 5 : The loss of penile length and circumference in impotent men after nerve sparing radical prostatectomy. 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Google Scholar From the Department of Urology, University of Miami School of Medicine, Miami, Florida© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byToussi A, Ziegelmann M, Yang D, Manka M, Frank I, Boorjian S, Tollefson M, Köhler T and Trost L (2021) Efficacy of a Novel Penile Traction Device in Improving Penile Length and Erectile Function Post Prostatectomy: Results from a Single-Center Randomized, Controlled TrialJournal of Urology, VOL. 206, NO. 2, (416-426), Online publication date: 1-Aug-2021.Lopategui D, Balise R, Bouzoubaa L, Wilson S and Kava B (2018) The Impact of Immediate Salvage Surgery on Corporeal Length Preservation in Patients Presenting with Penile Implant InfectionsJournal of Urology, VOL. 200, NO. 1, (171-177), Online publication date: 1-Jul-2018.O'Neil B, Presson A, Gannon J, Stephenson R, Lowrance W, Dechet C, Tward J, Myers J and Brant W (2013) Climacturia after Definitive Treatment of Prostate CancerJournal of Urology, VOL. 191, NO. 1, (159-163), Online publication date: 1-Jan-2014.Hudak S and Morey A (2011) Impact of 3.5 cm Artificial Urinary Sphincter Cuff on Primary and Revision Surgery for Male Stress Urinary IncontinenceJournal of Urology, VOL. 186, NO. 5, (1962-1966), Online publication date: 1-Nov-2011.Schlomer B, Dugi D, Valadez C and Morey A (2010) Correlation of Penile and Bulbospongiosus Measurements: Implications for Artificial Urinary Sphincter Cuff PlacementJournal of Urology, VOL. 183, NO. 4, (1474-1478), Online publication date: 1-Apr-2010.Yee D and Ahlering T (2007) Radical Prostatectomy: A Current PerspectiveJournal of Urology, VOL. 178, NO. 2, (376-377), Online publication date: 1-Aug-2007.Gontero P, Galzerano M, Bartoletti R, Magnani C, Tizzani A, Frea B and Mondaini N (2007) New Insights Into the Pathogenesis of Penile Shortening After Radical Prostatectomy and the Role of Postoperative Sexual FunctionJournal of Urology, VOL. 178, NO. 2, (602-607), Online publication date: 1-Aug-2007.Haliloglu A, Baltaci S and Yaman O (2018) Penile Length Changes in Men Treated With Androgen Suppression Plus Radiation Therapy for Local or Locally Advanced Prostate CancerJournal of Urology, VOL. 177, NO. 1, (128-130), Online publication date: 1-Jan-2007. Volume 169Issue 4April 2003Page: 1462-1464 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsprostatic neoplasmspenisprostatectomybody weights and measuresMetricsAuthor Information MARC SAVOIE More articles by this author SANDY S. KIM More articles by this author MARK S. SOLOWAY Financial interest and/or other relationship with Astra Zeneca, Matritech, Merck and TAP. More articles by this author Expand All Advertisement PDF downloadLoading ...