Requirement for Psychosexual Pathways

  • Sanchia S. Goonewardene
  • Raj Persad


Sivarajan et al., [1] examined psychosexual outcomes up to 7 years post operatively with initiation of medical therapy (n = 1896) [1]. What was demonstrated was erectile dysfunction, persisting beyond 2 years. However, the time point at which erectile dysfunction therapy was initiated is not mentioned—this is something which should be taken into account with pathway development. This is because, the sooner the treatment is initiated, the better the erectile function outcomes. However, the study is of a high quality due to its inclusion of risk stratification prior to assessment of erectile dysfunction (Level 2b, recommendation A) [1]. The study highlights a requirement for psychosexual pathways in order to manage patients with progressive disease, and manage them early to avoid delays in psychosexual care.


  1. 1.
    Sivarajan G, Prabhu V, Taksler GB, Laze J, Lepor H. Ten-year outcomes of sexual function after radical prostatectomy: results of a prospective longitudinal study. Eur Urol. 2014;65:58–65.CrossRefGoogle Scholar
  2. 2.
    Tuppin P, Samson S, Fagot-Campagna A, Lukacs B, Alla F, Paccaud F, Thalabard JC, Vicaut E, Vidaud M, Millat B. Prostate cancer outcomes in France: treatments, adverse effects and two-year mortality. BMC Urol. 2014;14:48.CrossRefGoogle Scholar
  3. 3.
    Levinson AW, Lavery HJ, Ward NT, Su LM, Pavlovich CP. Is a return to baseline sexual function possible? An analysis of sexual function outcomes following laparoscopic radical prostatectomy. World J Urol. 2011;29:29–34.CrossRefGoogle Scholar
  4. 4.
    Ploussard G, Salomon L, Parier B, Abbou CC, de la Taille A. Extraperitoneal robot-assisted laparoscopic radical prostatectomy: a single-center experience beyond the learning curve. World J Urol. 2013;31:447–53.CrossRefGoogle Scholar
  5. 5.
    Bronner G, Shefi S, Raviv G. Sexual dysfunction after radical prostatectomy: treatment failure or treatment delay? J Sex Marital Ther. 2010;36:421–9.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sanchia S. Goonewardene
    • 1
  • Raj Persad
    • 2
  1. 1.The Royal Free Hospital and UCLLondonUnited Kingdom
  2. 2.North Bristol NHS TrustBristolUnited Kingdom

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