2006 - UZ Leuven

nerve-sparing radical prostatectomy (NS RRP), single itemassessment is used for reporting of ED post-surgery. However,potency rates differ widely between various groups. We thereforeaimed to investigate the use of the IIEF-5 for the reporting of EDfollowing NS RRP. Objectives: To study the results of the use of theIIEF-5 questionnaire for evaluation of post-NS RRP erectiledysfunction.Methods: At a minimum of 18 months post-surgery, patients receiveda questionnaire on erectile function including single item assessmentand IIEF-5. Ninety-one patients who reported on having no erectiledysfunction pre-operatively, who stated to be sexually active, who didnot receive adjuvant therapy were included.Results: 50 patients (55%) underwent bilateral NS RRP, 41 patients(45%) underwent unilateral or partial bilateral nerve sparing surgery.When using the IIEF-5 questionnaire, we found that a mean of 25.5%had no ED (IIEF-5 score of 22-25). However, with single-itemassessment we saw a far higher potency rate.Conclusion: We studied the effect of the use of the validated IIEF-5questionnaire on reporting of erectile dysfunction following nervesparingsurgery, and found that it results in a significantly lowerpercentage of men classified as having no ED. However, it isexpected to have a higher level of validity, accuracy, and reliability,and seems more stable than the single-item assessment. Wetherefore think it is an excellent instrument for the reporting of EDfollowing RRP.BOGAERT G.A.: Congenital neuropathic bladder dysfynction:diagnostics and prevention of complications. In: Pediatric neurogenicbladder dysfunction. Eds. C. Esposito, J.M.Guys, D. Gough, A. Savanelli.Springer, 2006; 45: 343-355.Being born with myelomeningocele is a life-long crusade for the childand for the parents and siblings, who are often forgotten. It is a neverendingresponsibility and impairment of quality of life. In addiction, themedical care of patients with spinal dysraphism is a multidisciplinaryspecialized challenge and is not a simple and straightforward issue;however, there is more than just medical care: as much as possible,information to the family or caretakers is essential and, as soon aspossible, to the children. Lack of adequate information and the abilityto choose treatment options results often in lack of compliance oftreatment. Doctors sometimes think they know what is best for thepatient, but in reality it is only the patient who knows what is best forhim. Medical caretakers must also try to achieve independence of thepatient as much as possible. It is a wrong perspective that “others”can take better care of the child with spina bifida. As soon as other128