The Impact of Thoracotomy on Psychological and Sexual Function in Men With Lung Cancer

Abstract

Objective: We aimed to investigate the effect of major thoracic surgery on sexual functions and psychogenic aspects of men who underwent surgery for lung cancer. Material and methods: This study was conducted to assess depression and erectile function in patients who underwent surgical treatment for lung cancer. The data of 50 patients in the study group, and 39 participants in the control group who met the criteria were analyzed. Erectile dysfunction (ED) and symptoms of depression were assessed in patients before and three months after surgery. Results: The mean ages were 58.4 ± 11.6 and 61.3 ± 6.9 years; the mean BMIs were 25.6 ± 4.3 kg/m2 and 24.8 ± 5.7 kg/m2; the mean forced vital capacities (FVC) were 3.1 ± 0.6 L and 3.4 ± 1.4 L; the mean FEV1/FVC were 86.1 ± 10.3 and 80.3 ± 4.1; the mean Beck Depression Inventory scores were 9.3 ± 6.9 and 6.0 ± 6.2, and the mean FVC% were 82.9 ± 14.9 and 82.0 ± 26.2 for the study and control groups, respectively. The mean preoperative International Index of Erectile Function (IIEF-5) scores were 14.1 ± 4.1 and 10.8 ± 4.7 postoperative in the study group, and 17.4 ± 8.6 in the control group. The logistic regression analysis showed that postoperative complications resulted in a 3.95-times higher risk of suffering from ED. Conclusion: Our study supported that surgical treatment of lung cancer adversely affected psychogenic status and sexual function due to its stringent nature. The fear of death affects the quality of life and the psychogenic aspect of the patients with lung cancer. Clinicians should thoroughly inform the patients about sexual dysfunction and psychogenic disorders, and when needed providing an appropriate sexual counseling and treatment is necessary. Good communication contributes to a better quality of life. © 2018 Asociación Española de Andrología, Medicina Sexual y Reproductiva