The impact of orchidectomy upon the sexuality of the man with testicular cancer

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Abstract
Germ cell tumours, although relatively uncommon, are the most common malignancies amongst men aged 20–39. They are important because they affect men in their most reproductive years. The last decade has seen dramatic improvements in survival rates and so there is increasing emphasis on the quality of survival. This study looked at the impact of testicular loss upon the sexuality of men suffering from testicular cancer. Sixteen men with germ cell tumours of the testis, diagnosed within 2 years of the study, were compared with five men who had also undergone unilateral orchidectomy in the same time period, but for reasons other than cancer. They were also compared with 10 men in the same age group who had no history of testicular problems. A questionnaire modified from the Derogatis Sexual Functioning Inventory was used. No significant differences were identified between the three groups. However, there were individuals in all groups who had obvious sexual problems. In the germ cell tumour group, there were significant differences between retrospective scores for sexual intercourse, masturbation and sexual drive and the postoperative scores. This showed a perceived reduction in sexual activity postoperatively for the germ cell tumour group.

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