{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T11:16:02Z","timestamp":1789902962759,"version":"4.0.1"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T00:00:00Z","timestamp":1459468800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2016,4,1]],"date-time":"2016-04-01T00:00:00Z","timestamp":1459468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,4,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Several definitions of erectile function (EF) recovery after bilateral nerve-sparing radical prostatectomy (BNSRP) have been proposed based on the results of the International Index of EF (IIEF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We aimed at evaluating overall satisfaction (OS) after BNSRP according to the ability to achieve the pretreatment EF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We evaluated data of 652 patients treated with BNSRP for clinically localized prostate cancer (PCa). Erectile dysfunction (ED) was classified according to the IIEF-EF domain score. Return to baseline EF was defined as patients who reached the same preoperative ED category during the 3-year follow-up. Cox regression analyses were fitted to predict return to baseline IIEF-EF and to predict OS defined according to the IIEF-OS in the overall population. Logistic regression analyses were performed to analyze OS in men who reached the back to baseline status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>The outcome of the study was to evaluate back to baseline EF status and to correlate it with postoperative OS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Preoperative satisfaction was reported by 218 (33.4%) patients. Postoperative satisfaction was achieved by 103 patients. Overall, 383 patients were able to achieve the preoperative IIEF-EF score. However, only 26.9% reported being satisfied. Age and preoperative IIEF-EF score were significantly associated with baseline IIEF-EF recovery (all P \u2264 .02). Patients who were able to return to baseline IIEF-EF were more likely to be satisfied (P &amp;lt; .001). Time elapsed between surgery and achievement of baseline IIEF-EF was significantly associated with OS (P &amp;lt; .001). Among patients who were able to achieve the baseline IIEF-EF score, a preoperative IIEF-EF of 22\u201325 and 26\u201330 was significantly associated with postoperative satisfaction (all P &amp;lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>After BNSRP, reaching the baseline IIEF-EF score is not always sufficient to obtain patient satisfaction. Only patients with a preoperative IIEF-EF \u226522 who reached the baseline score after surgery considered themselves satisfied. This should be taken into account in preoperative patient counseling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.jsxm.2016.02.160","type":"journal-article","created":{"date-parts":[[2016,3,25]],"date-time":"2016-03-25T05:15:29Z","timestamp":1458882929000},"page":"669-678","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"title":["Erectile Function Recovery After Nerve-Sparing Radical Prostatectomy for Prostate Cancer: Is Back to Baseline Status Enough for Patient Satisfaction?"],"prefix":"10.1093","volume":"13","author":[{"given":"Martina Sofia","family":"Rossi","sequence":"first","affiliation":[{"name":"Unit of Urology\/Division of Oncology \u00a0 \u00a0 , Milan, , Italy"},{"name":"URI \u00a0 \u00a0 , Milan, , Italy"},{"name":"IRCCS Ospedale San Raffaele \u00a0 \u00a0 , Milan, , Italy"},{"name":"Department of Urology \u00a0 \u00a0 , Bologna, , Italy"},{"name":"University of Bologna \u00a0 \u00a0 , Bologna, , Italy"},{"name":"S. Orsola-Malpighi Hospital \u00a0 \u00a0 , Bologna, , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Moschini","sequence":"additional","affiliation":[{"name":"Unit of Urology\/Division of Oncology \u00a0 \u00a0 , Milan, , Italy"},{"name":"URI \u00a0 \u00a0 , Milan, , Italy"},{"name":"IRCCS Ospedale San Raffaele \u00a0 \u00a0 , Milan, , Italy"},{"name":"Doctorate Research Program \u00a0 , Catanzaro, , Italy"},{"name":"Magna Gr\u00e6cia University of Catanzaro \u00a0 , Catanzaro, , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Bianchi","sequence":"additional","affiliation":[{"name":"Unit of Urology\/Division of Oncology \u00a0 \u00a0 , Milan, , Italy"},{"name":"URI \u00a0 \u00a0 , Milan, , Italy"},{"name":"IRCCS Ospedale San Raffaele \u00a0 \u00a0 , Milan, , Italy"},{"name":"Doctorate Research Program \u00a0 , Catanzaro, , Italy"},{"name":"Magna Gr\u00e6cia University of Catanzaro \u00a0 , Catanzaro, , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Gandaglia","sequence":"additional","affiliation":[{"name":"Unit of Urology\/Division of Oncology \u00a0 \u00a0 , Milan, , Italy"},{"name":"URI \u00a0 \u00a0 , Milan, , Italy"},{"name":"IRCCS Ospedale San Raffaele \u00a0 \u00a0 , Milan, , Italy"},{"name":"Universit\u00e0 Vita-Salute San Raffaele , Milan, , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Fossati","sequence":"additional","affiliation":[{"name":"Unit of Urology\/Division of Oncology \u00a0 \u00a0 , Milan, , Italy"},{"name":"URI \u00a0 \u00a0 , Milan, , Italy"},{"name":"IRCCS Ospedale San Raffaele \u00a0 \u00a0 , Milan, , Italy"},{"name":"Universit\u00e0 Vita-Salute San Raffaele , Milan, , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Dell'Oglio","sequence":"additional","affiliation":[{"name":"Unit of Urology\/Division of Oncology \u00a0 \u00a0 , Milan, , Italy"},{"name":"URI \u00a0 \u00a0 , Milan, , Italy"},{"name":"IRCCS Ospedale San Raffaele \u00a0 \u00a0 , Milan, , Italy"},{"name":"Universit\u00e0 Vita-Salute San Raffaele , Milan, , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riccardo","family":"Schiavina","sequence":"additional","affiliation":[{"name":"Department of Urology \u00a0 \u00a0 , Bologna, , Italy"},{"name":"University of Bologna \u00a0 \u00a0 , Bologna, , Italy"},{"name":"S. 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