This article evaluates current sexual functioning in patients with prostate
cancer who are awaiting treatment. One-hundred fifty-eight patients filled
out a 15-item questionnaire regarding current sexual functioning. Median a
ge was 67 years. Sixty percent reported to have spontaneous erections at le
ast once a week, and 37% reported a good firmness. Thirty-five percent repo
rted that during sexual activity they had no difficulty in getting erection
s, and 33% reported that they had no difficulty in maintaining an erection.
After diagnosis, all patients reported a decrease in sexual interest, acti
vity, and pleasure. Diagnosis of prostate cancer does have an impact on sex
ual functioning, therefore sexual counseling prior to treatment is advised.