Proposal for a predictive model of erectile function after permanent (125)I prostate brachytherapy for localized prostate cancer

Int J Impot Res. 2013 Jul-Aug;25(4):121-6. doi: 10.1038/ijir.2013.3. Epub 2013 Feb 28.

Abstract

To determine the risk factors for EDin men treated by prostate brachytherapy (PB) for localized prostate cancer and to propose a model to predict post-implant erectile function. Out of a series of 270 sexually active men treated by PB, 241 (89%) (mean age=66 years (range, 43-80)) accepted to participate in a mail-based study on erectile function. The risk factors for erectile dysfunction were determined by regression analysis and a predictive model was proposed. The performance of the model was determined in this population and subsequently verified in a population of 50 men treated by PB in another treatment center. The risk factors for ED after PB were age, the pre-implant IIEF score and prostate volume. In the studied population, the final model to predict a post-treatment IIEF-5 score, using these factors, had a sensitivity of 69% and a specificity of 68% associated to an area under the ROC curve (AUC) of 0.75. The same performance was obtained in another treatment center. Age, pre-implant IIEF-5 score and prostate volume may be used to predict post-implant erectile function in patients treated by PB.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Brachytherapy / adverse effects*
  • Erectile Dysfunction / epidemiology
  • Erectile Dysfunction / etiology*
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Models, Biological
  • Penile Erection
  • Prostate / pathology
  • Prostatic Neoplasms / pathology
  • Prostatic Neoplasms / physiopathology
  • Prostatic Neoplasms / radiotherapy*
  • Risk Factors
  • Sensitivity and Specificity
  • Surveys and Questionnaires