Sexual Function and Quality of Life in Penile Cancer Patient after Partial Penectomy

Introduction: Urological cancers are increasing in number, but one of them is quite rare, which is penile cancer. In Indonesia, penile cancer was ranked thirtieth. The management often caused sexual problems for the patients. This study would like to find out the sexual function of the patients after partial penectomy.

Methods: This study was conducted in Haji Adam Malik General Hospital from 2017-2018. Patients underwent partial penectomy patients were included in the study. Data were obtained preoperative and 3 months postoperative by using IIEF and EORTC QLQ-C30 questionnaires.

Results: We found 10 partial penectomy for penile cancer cases in Haji Adam Malik General Hospital Medan. Mean of age is 48 ± 16,26 and smoking was noted in 8 (80%). IIEF questionnaire shows significant correlation in erectile function (9,0±0,94 p<0,05), orgasmic function (2,6±1,17 p<0,05), sexual desire (4,5±0,70 p<0,05), intercourse satisfaction (3,5±0,70 p<0,05), and overall satisfaction (4,6±0,69 p<0,05). EORTC questionnaire stated that quality of life (18,32±6,58 p<0,05), fatigue (17,78±11,94 p<0,05), and sleep (73,36±14,04 p<0,05) significantly affected. Other variable such as physical, role, emotional, cognitive, and social functioning shows no difference.

Conclusion: Penile cancer management, even with organ-sparing technique, still brings drawbacks to the patients, in the whole domain of the IIEF questionnaire and impairs the quality of life of the patients.