3%) were cured after treatment of local recurrence, 8 (17%) died of penile cancer, and 6 (12.8%) died of other causes ( Fig. 2). The overall survival at 2 and 5 years was 86.4% (95% confidence interval [CI], 72.1–93.6%) and 80.9% (95% CI, 65.2–90%), respectively (Fig. 3). The specific survival at 2 and 5 years was 90.7% (95% CI, 77.1–96.4%) and 87.6% (95% CI, 72.4–94.7%), respectively (Fig. 4). The disease-free survival at 2 and 5 years was 90.5% (95% CI, 67–97.5%) and 84% (95% CI, 57.6–94.7%), respectively (Fig. 5). Patients with a tumor in the penis body had a significantly higher risk of recurrence

(regional/distant) than those with glans tumors (p = 0.013; Mann–Whitney test and Fisher test). In contrast, lesion size, stage, histologic type, and grade do not emerge as prognostic factors of local, regional, and distant recurrence, despite PDGFR inhibitor a nonsignificant tendency for patients with squamous cell carcinoma (p = 0.074). The average age of the population was 73.2 years (range, 45–89 years). A total of 17 patients (89.5%) were AZD2281 cell line sexually active before treatment (Table 3), with 78.9% reporting no erectile dysfunction. A total of 10 (58.8%) of 17 patients remained sexually active before and after treatment (Table 4). Around 7 (36.8%) patients had no erectile dysfunction, 8 (42.1%) had frequent erections, 15 (78.9%) maintained nocturnal erections, and 10 (58.8%)

rated their erections as “hard” or “almost hard.” None of the men in the study suggested a loss of manliness. Nine men (47.3%) felt that PB had not changed their sexuality, and three (15.8%) evoked mild almost changes. A total of 10 men (52.6%) observed modifications in the glans sensitivity. Among the patients who continued to have sexual intercourse, 8 (80%) maintained orgasms. The average age of sexual partner was 66.6 years (median = 70

years; range, 37–85 years). The average duration of cohabitation was 38.2 years (median, 40 years; minimum, 4 years; maximum, 67 years). A total of 11 (57.9%) of the 19 men felt that sexuality was between “very important” to “moderately important” to their partner. A total of 12 men (63.1%) felt that they had between a “very good” (n = 8) or “good” (n = 4) communication about sexuality with their partners. Concerning the consequences of PB on the sexuality, six men (31.6%) noted that they were “well informed,” but six (31.6%) and seven declared to be “poorly informed” and “not informed,” respectively. The patient’s age and the age of their sexual partner were correlated with the frequency of sexual intercourse (p = 0.032 and 0.019, respectively). Patients who felt that PB had little or no changes in their sexuality had an IIEF-5 score (p = 0.016), IIEF-15 (p = 0.003), and a frequency of sexual intercourse (p = 0.026) significantly higher. We found no significant correlation among the sexuality items and the parameters of PB (dose, dose rate, number of needles, and active length), and the tumor size.