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Brachytherapy. 2007 Jan-Mar;6(1):26-33.

Assessment of postbrachytherapy sexual function: a comparison of the IIEF-5 and the MSEFS.

Author information

1
Department of Radiation Oncology, Mount Sinai School of Medicine, New York, NY, USA.

Abstract

PURPOSE:

This study is to compare the Mount Sinai Erectile Function Score (MSEFS), our brachytherapy program's physician-assigned scale, with patients' independently completed International Index of Erectile Function-5 (IIEF-5).

METHODS AND MATERIALS:

A total of 1202 patients with T1-T3 prostate cancer were treated with ultrasound-guided radioactive seed implantation +/- EBRT with at least one visit where both MSEFS and IIEF-5 were completed. Spearman rho correlations were performed.

RESULTS:

The MSEFS significantly correlated with the total IIEF-5 scores on all comparisons. The coefficient was 0.65 for comparisons at initial consultation and 0.76 for all visits. The correlations remained strong, averaging to 0.76 for visits 1 through 10.

CONCLUSIONS:

In assessing erectile dysfunction after radiation, the MSEFS correlates well with, but cannot be replaced by, the IIEF-5, which is weighted toward one's degree of sexual desire. More insight into patients' erectile function after brachytherapy may be gotten if the IIEF-15 is used instead of the IIEF-5 with our MSEFS.

PMID:
17284382
DOI:
10.1016/j.brachy.2006.11.003
[Indexed for MEDLINE]

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