Knowledge and Attitudes towards Fertility Preservation in Patients undergoing Radical Prostatectomy.

IF 2.1 3区医学 Q2 UROLOGY & NEPHROLOGY

Urology Pub Date : 2025-07-11 DOI:10.1016/j.urology.2025.07.007

Ellen M Cahill, Ernesto Morfin Montes de Oca, Jose M Flores, Nelson E Bennett, John P Mulhall

{"title":"Knowledge and Attitudes towards Fertility Preservation in Patients undergoing Radical Prostatectomy.","authors":"Ellen M Cahill, Ernesto Morfin Montes de Oca, Jose M Flores, Nelson E Bennett, John P Mulhall","doi":"10.1016/j.urology.2025.07.007","DOIUrl":null,"url":null,"abstract":"Objective: To better understand the fertility discussion experience and attitudes regarding fertility of men undergoing radical prostatectomy (RP).Methods: Men who had had a RP within the prior 3 months who were ≤50 years of age with a partner of reproductive age (≤45 years) were included. In a written questionnaire, men were asked about their understanding of the impact of RP on their future fertility, whether they were counseled on sperm banking, whether they actually banked sperm, and if they had not, their level of interest in sperm extraction post-RP. Patient and partner demographic data was recorded. A multivariable model was constructed to look for predictors of interest in fertility in men undergoing RP.Results: In total, 364 men responded to the questionnaire. Median patient and partner age were 45 (39,49) and 35 (34,40) years, respectively. 28% of men indicated an interest in future fertility. 58% of men did not recall being told about anejaculation post-RP, 84% were unaware that sperm banking preoperatively was an option, and only 7% of those interested in fertility actually banked sperm. Only 8 men (2%) were aware that testis sperm extraction was a possibility post-RP. Predictors of interest in fertility post-RP included younger partner age, patient without children, and partner without children.Conclusion: While the majority of men undergoing RP are not interested in fertility, a distinct minority are, and appear to be poorly educated and prepared for fertility decisions before or after RP.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.urology.2025.07.007","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To better understand the fertility discussion experience and attitudes regarding fertility of men undergoing radical prostatectomy (RP).

Methods: Men who had had a RP within the prior 3 months who were ≤50 years of age with a partner of reproductive age (≤45 years) were included. In a written questionnaire, men were asked about their understanding of the impact of RP on their future fertility, whether they were counseled on sperm banking, whether they actually banked sperm, and if they had not, their level of interest in sperm extraction post-RP. Patient and partner demographic data was recorded. A multivariable model was constructed to look for predictors of interest in fertility in men undergoing RP.

Results: In total, 364 men responded to the questionnaire. Median patient and partner age were 45 (39,49) and 35 (34,40) years, respectively. 28% of men indicated an interest in future fertility. 58% of men did not recall being told about anejaculation post-RP, 84% were unaware that sperm banking preoperatively was an option, and only 7% of those interested in fertility actually banked sperm. Only 8 men (2%) were aware that testis sperm extraction was a possibility post-RP. Predictors of interest in fertility post-RP included younger partner age, patient without children, and partner without children.

Conclusion: While the majority of men undergoing RP are not interested in fertility, a distinct minority are, and appear to be poorly educated and prepared for fertility decisions before or after RP.

查看原文本刊更多论文

根治性前列腺切除术患者保留生育能力的知识和态度。

目的：了解根治性前列腺切除术（RP）患者的生育讨论经验及对生育的态度。方法：纳入前3个月内发生RP且年龄≤50岁且伴育龄伴侣（≤45岁）的男性。在一份书面调查问卷中，男性被问及他们对RP对他们未来生育能力的影响的理解，他们是否被告知精子库，他们是否真的储存了精子，如果他们没有，他们对RP后精子提取的兴趣程度。记录患者和伴侣的人口统计数据。我们构建了一个多变量模型来寻找对RP患者生育能力感兴趣的预测因子。结果：共有364名男性参与问卷调查。患者和伴侣的中位年龄分别为45（39、49）岁和35（34、40）岁。28%的男性表示对未来生育有兴趣。58%的男性不记得在rp后被告知过射精，84%的男性不知道术前可以选择精子库，只有7%对生育感兴趣的男性实际储存了精子。只有8名男性（2%）知道rp后可以提取睾丸精子。rp后生育能力的预测因素包括伴侣年龄较小、无子女的患者和无子女的伴侣。结论：虽然大多数接受RP的男性对生育不感兴趣，但明显有少数人对生育不感兴趣，而且在RP之前或之后似乎没有受过良好的教育，也没有做好生育决定的准备。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Urology 医学-泌尿学与肾脏学

CiteScore

3.30

自引率

9.50%

发文量

716

审稿时长

59 days

期刊介绍： Urology is a monthly, peer–reviewed journal primarily for urologists, residents, interns, nephrologists, and other specialists interested in urology The mission of Urology®, the "Gold Journal," is to provide practical, timely, and relevant clinical and basic science information to physicians and researchers practicing the art of urology worldwide. Urology® publishes original articles relating to adult and pediatric clinical urology as well as to clinical and basic science research. Topics in Urology® include pediatrics, surgical oncology, radiology, pathology, erectile dysfunction, infertility, incontinence, transplantation, endourology, andrology, female urology, reconstructive surgery, and medical oncology, as well as relevant basic science issues. Special features include rapid communication of important timely issues, surgeon''s workshops, interesting case reports, surgical techniques, clinical and basic science review articles, guest editorials, letters to the editor, book reviews, and historical articles in urology.