Sexual functioning in long-term survivors of testicular cancer (TCSs)

4526 Background: In TCSs conflicting results have been reported as to the association between treatment modalities and sexual function. We compared self-rated sexual function in Norwegian TCSs who during 1980 to 1994 received one of the following overall therapies: Surveillance (SURV); Retroperitoneal lymph node dissection only (RPLND); Radiation only (RAD) or Cisplatin-based chemotherapy with or without RPLND or RAD (CHEM). Methods: Sexual function was assessed in 1224 TCSs after a mean of 11 years follow-up (SURV: 112; RPLND only: 129; RAD: 543; CHEM: 458). Mean scores for sexual drive, erections, ejaculation, problem assessment, and overall satisfaction were assessed using The Brief Male Sexual Function Inventory. Patients who were very or mostly dissatisfied on overall satisfacation were defined as cases. Results: No significant differences were found between the treatment groups as to sexual drive, problem assessment, and overall satisfaction. SURV patients reported significantly better erectile func...