Sexual Concerns in Men after Transplant

This is a recording of the workshop presented at the 2023 Survivorship Symposium.

Summary: Sexual problems in men after a stem cell transplant is quite common. This presentation reviews various types of sexual dysfunction in transplant recipients and available remedies. Patients are encouraged to learn about these issues and not hesitate to seek help when needed.

Presenter: R. Caleb Kovell MD, University of Pennsylvania School of Medicine

To read the transcript, go to:
https://www.bmtinfonet.org/vid....eo/sexual-concerns-m

Highlights:

-Sexual dysfunction is most likely to occur within one year post-transplant. Some men experience significant improvement within three years, but without treatment, symptoms may persist longer for other men.
- Medical treatments for erectile dysfunction include oral agents, mechanical devices, injectable agents, and surgery to implant a penile prosthesis. Each treatment carries its own risks and benefits which patients should carefully consider.
- Low testosterone can contribute to sexual dysfunction, especially in men who have received radiation treatments and chemotherapy. It also brings other medical risks but there can be significant benefits from testosterone replacement therapy.

April 2023, Part of the Virtual Celebrating a Second Chance at Life Survivorship Symposium

Presentation is 44 minutes long with 4 minutes of Q & A

Key Points:

(02:45): Sexual problems in men can take a wide variety of forms beyond erectile dysfunction.

(06:25): Survivors of childhood cancer have a high incidence of sexual dysfunction compared to the general population.

(11:01): Graft-versus-host-disease significantly increases the likelihood of erectile dysfunction.

(11:14): Many different physical factors can impede achieving a successful erection.

(14:08): There are barriers to care on both the patient and provider side that include embarrassment and lack of familiarity with available treatment options.

(15:16): There are a variety of oral medications for erectile dysfunctions that each work somewhat differently.

(26:57): Nutraceutical treatments are not regulated or consistent in dosing, and there’s very little evidence that they help.

(28:15): Low intensity shockwave therapy may improve erectile dysfunction but not completely solve the problem. It can also be expensive and may not be covered by insurance.

(38:06): Several factors may also contribute to orgasmic dysfunction in men.

(42:01): Transplant patients should be aware of the risks of sexual dysfunction, but also know that these problems sometime improve with time and that medical and psychological help is available.

Meet the speaker:
https://www.pennmedicine.org/p....roviders/profile/rob

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