Erectile Dysfunction and Penile Bulb Dose Following Definitive Prostate Radiation Therapy

AuthorMasoumeh Nourien
AuthorMaryam Kalantari Khandanien
AuthorSeyed Alireza Javadiniaen
AuthorAbdolazim Sedighi Pashakien
AuthorMohsen Alemien
AuthorLeili Tapaken
AuthorHamidreza Mojtahedien
AuthorZahra Keshtpour Amlashien
OrcidMasoumeh Nouri [0009-0000-2220-6876]en
OrcidMaryam Kalantari Khandani [0009-0003-1740-1636]en
OrcidSeyed Alireza Javadinia [0000-0003-2467-837X]en
OrcidAbdolazim Sedighi Pashaki [0000-0003-2210-5797]en
OrcidLeili Tapak [0000-0001-9554-3099]en
OrcidZahra Keshtpour Amlashi [0000-0001-7126-0393]en
Issued Date2024-12-31en
AbstractBackground: Erectile dysfunction (ED) is a common side effect of prostate cancer treatment, affecting up to 50% of patients after radiation therapy. Objectives: This study aims to analyze the correlation between the dose received by the penile bulb (PB) and ED in men who underwent definitive radiation therapy for early-stage prostate cancer without androgen deprivation therapy. Methods: The study included 40 patients who received 3D conformal radiation therapy (3D-CRT) for localized prostate cancer and were reported to be potent before treatment, as determined by the International Index of Erectile Function (IIEF-15) questionnaire. The dose to the PB was measured using dose volume histograms (DVHs), and the IIEF-15 questionnaire was completed again 3 months after 3D-CRT. The Pearson correlation coefficient and linear regression test were used to examine the correlation between the ED score and PB doses. Statistical significance was considered if the P value was less than 0.05. Results: The mean age of the patients was 75.5 ± 5.70 years. The average ED score based on the questionnaire was 15 ± 10.55. Twenty percent of the patients had moderate ED, while 80% had mild ED (all patients reported a decrease in potency after 3D-CRT). However, the correlation between the ED score and the PB mean dose was not statistically significant. Conclusions: This study revealed ED in all prostate cancer patients after 3D-CRT, but no significant correlation was found between the dose received by the PB and radiotherapy-induced impotence.en
DOIhttps://doi.org/10.5812/ijcm-147952en
URIhttps://brieflands.com/journals/ijcm/articles/147952en
KeywordRadiation Therapyen
KeywordProstate Canceren
KeywordProstate Cancer; Penile Bulben
PublisherBrieflandsen
TitleErectile Dysfunction and Penile Bulb Dose Following Definitive Prostate Radiation Therapyen
TypeResearch Articleen

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