Table 4.
Frequency (%) of survivors with ED† | Relative risk for ED (95% CI) | p-value | ||
---|---|---|---|---|
Age at MHQ completion | ||||
| ||||
50+ years | 8 / 35 | (23) | 3.47 (1.39–8.69) | 0.008 |
40–49 years | 53 / 358 | (15) | 2.12 (1.10–4.09) | 0.02 |
30–39 years | 42 / 448 | (9) | 1.42 (0.73–2.76) | 0.30 |
20–29 years | 11 / 161 | (7) | 1.00 (referent) | -- |
| ||||
Testicular radiation dose | ||||
| ||||
≥10 Gy | 5 / 17 | (29) | 3.55 (1.53–8.24) | 0.003 |
≥4.0 Gy to <10 Gy | 5 / 21 | (24) | 1.45 (0.56–3.78) | 0.45 |
>0 Gy <4.0 Gy | 72 / 559 | (13) | 1.32 (0.89–1.95) | 0.17 |
None | 29 / 340 | (9) | 1.00 (referent) | -- |
| ||||
Surgery on spinal cord/sympathetic nerves (records/self-reported) | ||||
| ||||
Yes | 6 / 20 | (30) | 2.87 (1.36–6.05) | 0.006 |
No | 105 / 937 | (11) | 1.00 (referent) | -- |
| ||||
Prostate surgery (records/self-reported)^ | ||||
| ||||
Yes | 7 /10 | (70) | 6.56 (3.84–11.20) | <0.0001 |
No | 104 / 947 | (11) | 1.00 (referent) | -- |
| ||||
Pelvic surgery (self-reported) | ||||
| ||||
Yes | 7 / 21 | (33) | 2.28 (1.04–4.98) | 0.04 |
No | 103 / 956 | (11) | 1.00 (referent) | -- |
Only cancer treatment factors and basic demographic characteristics were considered in this model. Health status variables assessed at time of the Men’s Health Questionnaire (e.g. general health) were not included in the treatment factors model because they may themselves be downstream consequences of treatment factors.
For analyses assessing the impact of treatments received for primary cancer, subjects who experienced a recurrence or second malignant neoplasm were excluded.
Biopsies or other diagnostic procedures not included
ED=erectile dysfunction; IIEF-EF = International Index of Erectile Function (Erectile Function Domain)