Ejaculatory function after radiotherapy for prostate cancer: a systematic review and meta-analysis.

Autor: Ghaffar U; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Abbasi B; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Li KD; Department of Urology, University of California San Francisco, San Francisco, CA, USA.; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA., Venishetty N; Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA., Hakam N; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Fernandez A; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Pearce R; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Patel HV; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Carlisle MN; Department of Urology, University of California San Francisco, San Francisco, CA, USA., Breyer BN; Department of Urology, University of California San Francisco, San Francisco, CA, USA. Benjamin.Breyer@ucsf.edu.; Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA. Benjamin.Breyer@ucsf.edu.
Jazyk: angličtina
Zdroj: Prostate cancer and prostatic diseases [Prostate Cancer Prostatic Dis] 2024 Sep 14. Date of Electronic Publication: 2024 Sep 14.
DOI: 10.1038/s41391-024-00882-4
Abstrakt: Background: Scant data exists on the impacts of prostate radiation on ejaculatory function. We performed a systematic review and meta-analysis to assess ejaculatory outcomes in men after prostate radiation.
Methods: We queried PubMed, Embase, and Web of Science to identify 17 articles assessing ejaculatory function post-radiation. The primary outcome was anejaculation rate and secondary outcomes included ejaculatory volume (EV), ejaculatory discomfort, and mean decline in ejaculatory function scores (EFS). We assessed study quality with the Newcastle-Ottawa scale. We calculated pooled proportions using inverse variance and random effects models.
Results: We identified 17 observational studies with 2156 patients reporting ejaculatory profiles post-radiation. Seven studies utilized external beam radiation therapy, 7 brachytherapy, 1 stereotactic RT and 2 utilized either external or brachytherapy. Ten studies reported an anejaculation rate. Pooled proportion of patients having anejaculation, decreased EV and EjD were 18% (95% CI, 11-36%), 85% (95% CI, 81-89%) and 24% (95% CI, 16-35%), respectively. Five studies reported decline in EFS post-radiation.
Conclusions: Patients receiving radiation treatment may experience significant changes in their ejaculation, such as the absence of ejaculation, reduced EV, and EjD. It is important to counsel them about these potential side effects.
(© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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