Our Summary

This research paper looked at how a surgical procedure called total laryngectomy (TL) - a surgery used to treat throat cancer where the entire voice box is removed - could affect a person’s sexual life. The researchers analyzed 24 studies involving 1511 patients who underwent TL.

They found that almost half (47%) of these patients reported a decline in the quality of their sexual life after the surgery. This included issues like decreased sex drive, less frequent sexual intercourse, less sexual satisfaction, and problems with erectile and ejaculatory function in males.

The study identified factors like having a tracheostomy (a surgical hole in the neck to assist with breathing), advanced stages of disease, being young, and having depression as factors that could increase the risk of these sexual problems after surgery.

Furthermore, about a quarter (23%) of patients felt they didn’t receive enough support on dealing with these changes to their sexual life after surgery.

The researchers concluded that TL has a significant impact on a person’s sexual life, and this information should be considered before undergoing the procedure. They also suggested that better resources and management strategies should be developed to help patients deal with these changes.

FAQs

  1. What is the potential impact of total laryngectomy on a patient’s sexual life?
  2. What factors were identified in the study that could increase the risk of sexual problems after undergoing total laryngectomy?
  3. What percentage of patients felt they didn’t receive enough support to deal with changes to their sexual life after the surgery?

Doctor’s Tip

A doctor might advise a patient undergoing laryngectomy to discuss potential sexual side effects with their healthcare team before the surgery and to seek support and resources to navigate any changes in their sexual life post-surgery. They may also recommend counseling or therapy to help cope with any emotional or psychological challenges that may arise. Additionally, patients should communicate openly with their partner about any concerns or changes in their sexual relationship.

Suitable For

Patients who are typically recommended for laryngectomy are those with advanced stage throat cancer that has not responded to other treatments such as radiation therapy or chemotherapy. Additionally, patients who have a tumor that is too large to be removed through other surgical methods may also be recommended for laryngectomy. Patients who have recurrent cancer in the larynx or surrounding areas may also be candidates for laryngectomy. It is important for patients to discuss their treatment options with their healthcare provider to determine if laryngectomy is the best course of action for their specific situation.

Timeline

Timeline before laryngectomy:

  • Patient is diagnosed with throat cancer and undergoes various tests and consultations with healthcare providers.
  • Patient discusses treatment options with their healthcare team, including the possibility of total laryngectomy.
  • Patient undergoes preoperative preparations, including physical exams, blood tests, and imaging scans.
  • Patient receives counseling and education on what to expect before, during, and after surgery.

Timeline after laryngectomy:

  • Patient undergoes total laryngectomy surgery to remove the voice box.
  • Patient recovers in the hospital and may require a temporary tracheostomy for breathing.
  • Patient undergoes postoperative rehabilitation to learn how to speak with a voice prosthesis or other alternative methods.
  • Patient may experience changes in their sexual life, including decreased sex drive and satisfaction.
  • Patient may require support and counseling to cope with these changes and improve their quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laryngectomy include:

  1. How will a total laryngectomy affect my ability to speak and communicate?
  2. What are the potential side effects or complications of the surgery?
  3. How will I breathe after the surgery, and will I need a tracheostomy?
  4. How will a total laryngectomy impact my ability to eat and swallow?
  5. What can I expect in terms of my recovery and rehabilitation after the surgery?
  6. Will I need speech therapy or other forms of rehabilitation after the surgery?
  7. How will a total laryngectomy affect my quality of life, including my ability to work and participate in activities?
  8. What support resources are available to help me cope with the physical and emotional changes that may come with a laryngectomy?
  9. How will a total laryngectomy impact my sexual function and intimacy?
  10. Are there any specific factors in my case that may influence the outcome of the surgery and my recovery process?

Reference

Authors: Babin E, Heutte N, Humbert M, Laccourreye O. Journal: Eur Ann Otorhinolaryngol Head Neck Dis. 2023 May;140(3):121-126. doi: 10.1016/j.anorl.2023.04.001. Epub 2023 May 2. PMID: 37142505