{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:13:44Z","timestamp":1790054024448,"version":"4.0.1"},"reference-count":37,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":2336,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,2,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Surgery is the standard treatment for organ-restricted penile cancer, but it is also a disfiguring procedure that can profoundly affect quality of life. Using a survey, in this study we assessed the effect of different surgical invasiveness on satisfaction in selected life domains of patients who underwent penile-sparing surgery and partial penectomy. Methods: Forty patients who underwent penile-sparing surgery (n\u00a0=\u00a013) or partial penectomy (n\u00a0=\u00a027) were enrolled in the study. The response rate was 71%. Information was obtained after surgery on sexuality, self-esteem, masculinity and partner relationships using the International Index of Erectile Function, the Self-Esteem Scale and the Conformity to Masculinity Norms Inventory questionnaires. We evaluated the effect of primary surgery type on selected domains of quality of life and correlations between study variables after surgery. Results: High self-esteem, satisfactory erectile function and masculinity results in both groups were comparable to those in the published literature. Men who underwent less disfiguring treatment had a significantly higher sense of masculinity than those who underwent partial penectomy (P\u00a0=\u00a00.05). No significant differences were observed in erectile dysfunction and self-esteem. The level of aggressiveness of a surgical procedure was a predictor of sense of masculinity (P\u00a0=\u00a00.01), but was not associated with self-esteem and sexual dysfunction (P\u00a0=\u00a00.28 and P\u00a0=\u00a00.55 respectively); 83% of patients were able to satisfactorily maintain partner relationships. Conclusions: Disfiguring treatments for penile cancer significantly interfere with the sense of masculinity, but sexual functioning and self-esteem do not differ according to the type of surgical procedure. Most men maintained stable partner relationships after surgery, regardless of surgery type.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh17119","type":"journal-article","created":{"date-parts":[[2019,2,3]],"date-time":"2019-02-03T22:43:46Z","timestamp":1549233826000},"page":"32-38","source":"Crossref","is-referenced-by-count":23,"title":["Assessment of selected quality of life domains in patients who have undergone conservative or radical surgical treatment for penile cancer: an observational study"],"prefix":"10.1071","volume":"16","author":[{"given":"Roman","family":"Sosnowski","sequence":"first","affiliation":[{"name":"ADepartment of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5 Street, 02-781 Warsaw, Poland."},{"name":"CCorresponding author. Email: roman.sosnowski@gmail.com"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Karol","family":"Wolski","sequence":"additional","affiliation":[{"name":"ADepartment of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5 Street, 02-781 Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Urszula","family":"Zietalewicz","sequence":"additional","affiliation":[{"name":"BFaculty of Psychology, Department of Health Psychology and Rehabilitation, University of Warsaw, Stawki 5\/7 Street, 00-183 Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Szymanski","sequence":"additional","affiliation":[{"name":"ADepartment of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5 Street, 02-781 Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Bakula","sequence":"additional","affiliation":[{"name":"ADepartment of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5 Street, 02-781 Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomasz","family":"Demkow","sequence":"additional","affiliation":[{"name":"ADepartment of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5 Street, 02-781 Warsaw, Poland."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2018,12,12]]},"reference":[{"key":"2025102419080080700_R1","doi-asserted-by":"publisher","first-page":"861","DOI":"10.1007\/s00345-011-0802-0","article-title":"Epidemiologic profile, sexual history, pathologic features, and human papillomavirus status of 103 patients with penile carcinoma.","volume":"31","author":"Chaux","year":"2013","journal-title":"World J Urol"},{"key":"2025102419080080700_R2","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1590\/S1677-55382008000500007","article-title":"Epidemiologic study on penile cancer in Brazil.","volume":"34","author":"Favorito","year":"2008","journal-title":"Int Braz J Urol"},{"key":"2025102419080080700_R3","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1016\/j.urolonc.2006.08.029","article-title":"Incidence trends in primary malignant penile cancer [published erratum appears in Urol Oncol 2008; 26: 112].","volume":"25","author":"Barnholtz-Sloan","year":"2007","journal-title":"Urol Oncol"},{"key":"2025102419080080700_R4","unstructured":"Forman D, Bray F, Brewster DH, Gombe Mbalawa C, Kohler B, Pi\u00f1eros M, Steliarova-Foucher E, Swaminathan R, Ferlay J, eds. Cancer incidence in five continents: volume X \u2013 IARC Scientific Publications No. 164. Lyon, France: International Agency for Research on Cancer; 2014. Available online at: http:\/\/ci5.iarc.fr\/CI5I-X\/old\/vol10\/CI5vol10.pdf [verified 1 October 2018]."},{"key":"2025102419080080700_R5","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1186\/s40064-015-1191-4","article-title":"Trends in penile cancer: a comparative study between Australia, England and Wales, and the US.","volume":"4","author":"Sewell","year":"2015","journal-title":"Springerplus"},{"key":"2025102419080080700_R6","doi-asserted-by":"publisher","first-page":"2169","DOI":"10.1007\/s10552-013-0293-y","article-title":"Long-term trends in incidence, survival and mortality of primary penile cancer in England.","volume":"24","author":"Arya","year":"2013","journal-title":"Cancer Causes Control"},{"key":"2025102419080080700_R7","unstructured":"Didkowska J, Wojciechowska U, Olasek P. Nowotwory zlosliwe w Polsce w 2015 roku \u2013 Cancer in Poland in 2015. Warsaw, Poland: Krajowy Rejestr Nowotwor\u00f3w and Centrum Onkologii \u2013 Instytut im. Marii Sklodowskiej-Curie; 2017. Available online at: http:\/\/onkologia.org.pl\/wp-content\/uploads\/Nowotwory_2015.pdf [verified 1 October 2018]."},{"key":"2025102419080080700_R8","unstructured":"Hakenberg OW, Comp\u00e9rat E, Minhas S, Necchi A, Protzel C, Watkin N. Penile cancer. Arnhem, The Netherlands: European Association of Urology; 2014. Available online at: http:\/\/uroweb.org\/guideline\/penile-cancer\/ [verified 1 October 2018]."},{"key":"2025102419080080700_R9","doi-asserted-by":"publisher","first-page":"377","DOI":"10.5173\/ceju.2016.890","article-title":"Primary penile cancer organ sparing treatment.","volume":"69","author":"Sosnowski","year":"2016","journal-title":"Cent European J Urol"},{"key":"2025102419080080700_R10","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/1471-2490-9-8","article-title":"Identifying the needs of penile cancer sufferers: a systematic review of the quality of life, psychosexual and psychosocial literature in penile cancer.","volume":"9","author":"Maddineni","year":"2009","journal-title":"BMC Urol"},{"key":"2025102419080080700_R11","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1016\/j.juro.2014.04.014","article-title":"Quality of life for patients treated for penile cancer.","volume":"192","author":"Kieffer","year":"2014","journal-title":"J Urol"},{"key":"2025102419080080700_R12","doi-asserted-by":"publisher","first-page":"933","DOI":"10.1002\/pon.1642","article-title":"Looking past the obvious: experiences of altered masculinity in penile cancer.","volume":"19","author":"Bullen","year":"2010","journal-title":"Psychooncology"},{"key":"2025102419080080700_R13","doi-asserted-by":"publisher","first-page":"1097","DOI":"10.1016\/j.eururo.2012.07.028","article-title":"Systematic review of perioperative and quality-of-life outcomes following surgical management of localised renal cancer.","volume":"62","author":"MacLennan","year":"2012","journal-title":"Eur Urol"},{"key":"2025102419080080700_R14","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1016\/j.urology.2009.05.087","article-title":"Quality of life and body image for bladder cancer patients undergoing radical cystectomy and urinary diversion \u2013 a prospective cohort study with a systematic review of literature.","volume":"74","author":"Somani","year":"2009","journal-title":"Urology"},{"key":"2025102419080080700_R15","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1097\/01.ju.0000176463.40530.05","article-title":"Quality of life after cystectomy and urinary diversion: an evidence based analysis.","volume":"174","author":"Gerharz","year":"2005","journal-title":"J Urol"},{"key":"2025102419080080700_R16","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The International Index of Erectile Function (IIEF): a multidimensional scale for assessment of erectile dysfunction.","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"key":"2025102419080080700_R17"},{"key":"2025102419080080700_R18","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1177\/1557988307304325","article-title":"Sexual functioning as a moderator of the relationship between masculinity and men\u2019s adjustment following treatment for prostate cancer.","volume":"2","author":"Burns","year":"2008","journal-title":"Am J Mens Health"},{"key":"2025102419080080700_R19","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1037\/1524-9220.4.1.3","article-title":"Development of the Conformity to Masculine Norms Inventory.","volume":"4","author":"Mahalik","year":"2003","journal-title":"Psychol Men Masc"},{"key":"2025102419080080700_R20","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1111\/j.1464-410X.1994.tb09200.x","article-title":"Quality of life in patients treated for penile cancer. A follow-up study.","volume":"74","author":"Opjordsmoen","year":"1994","journal-title":"Br J Urol"},{"key":"2025102419080080700_R21","doi-asserted-by":"publisher","first-page":"1292","DOI":"10.1016\/j.urology.2005.06.081","article-title":"Sexual function after partial penectomy for penile cancer.","volume":"66","author":"Romero","year":"2005","journal-title":"Urology"},{"key":"2025102419080080700_R22","doi-asserted-by":"crossref","first-page":"57","DOI":"10.4103\/1008-682X.168690","article-title":"Sexual outcomes after partial penectomy for penile cancer: results from a multi-institutional study.","volume":"19","author":"Sansalone","year":"2017","journal-title":"Asian J Androl"},{"key":"2025102419080080700_R23","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1016\/S0090-4295(97)00309-9","article-title":"Quality of life after partial penectomy for penile carcinoma.","volume":"50","author":"D\u2019ancona","year":"1997","journal-title":"Urology"},{"key":"2025102419080080700_R24","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1159\/000064857","article-title":"General state of health and psychological well-being in patients after surgery for urological malignant neoplasms.","volume":"65","author":"Ficarra","year":"2000","journal-title":"Urol Int"},{"key":"2025102419080080700_R25","first-page":"363","article-title":"Lichen sclerosus in patients with squamous cell carcinoma. 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Impact upon men\u2019s health.","volume":"21","author":"Forrester","year":"1986","journal-title":"Nurs Clin North Am"},{"key":"2025102419080080700_R35","doi-asserted-by":"publisher","first-page":"1385","DOI":"10.1016\/S0277-9536(99)00390-1","article-title":"Constructions of masculinity and their influence on men\u2019s well-being: a theory of gender and health.","volume":"50","author":"Courtenay","year":"2000","journal-title":"Soc Sci Med"},{"key":"2025102419080080700_R36","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1080\/00926239608404917","article-title":"Survey report: concept of penis size.","volume":"22","author":"Lee","year":"1996","journal-title":"J Sex Marital Ther"},{"key":"2025102419080080700_R37","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1177\/104973202129120034","article-title":"Active consideration: conceptualizing patient-provided support for spouse caregivers in the context of prostate cancer.","volume":"12","author":"Fergus","year":"2002","journal-title":"Qual Health Res"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/16\/1\/32\/149394\/sh17119.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/16\/1\/32\/149394\/sh17119.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T23:08:10Z","timestamp":1761347290000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/16\/1\/32\/21520\/Assessment-of-selected-quality-of-life-domains-in"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,12]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,2,4]]}},"URL":"https:\/\/doi.org\/10.1071\/sh17119","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,12]]}}}