Sexuality after surgery for diffuse XXXX .

@entity1 @entity308 @entity11 @entity51 @entity250
BACKGROUND: Although neurological and neurocognitive outcomes have previously been studied after resection of diffuse @entity11 (DLGG), the impact of surgery on sexual life has not been investigated. Our aim was to assess whether DLGG surgery could have consequences on sexual experience. METHODS: Anonymous standardized questionnaires concerning sexual functioning, including the Arizona Sexual Experiences Scale (ASEX) and a subjective statement, were completed by 32 @entity1 who underwent surgery for DLGG. All @entity1 returned to a normal social and professional life following resection, with neither @entity51 nor @entity308 . No radiotherapy was administered, and @entity1 who received chemotherapy were without treatment for at least 1 year. RESULTS: Seventeen @entity1 (53%) reported a postoperative sexual change, with subjective deterioration in 15 (88%) and improvement in 2 (12%). @entity250 according to ASEX affected 9 of 15 @entity1 (60%) and 5 of 17 @entity1 (29%). Right-sided resections were associated with more difficulties in reaching orgasm than left-sided resections (P < .02). @entity1 with temporal lobe resection displayed more reduction in sexual drive (P < .003) and sexual arousal (P < .004) than @entity1 , resulting in significant higher overall ASEX scores for temporal lobe resections in @entity1 (P = .01). @entity1 remaining on antiepileptic drugs who underwent right-sided resection displayed higher overall ASEX scores than @entity1 (P = .031). CONCLUSIONS: This first evaluation of sexual life after surgery for DLGG suggests that @entity250 is common in this population. Therefore, we suggest that sexual health should consistently be addressed during routine pre- and postoperative examination of @entity1 with DLGG.
