Helping Men Adhere to Sexual Rehabilitation Following Prostate Cancer Surgery

Inclusion Criteria:

- As per medical record, early stage prostate cancer (Pathologic Stage 1/2 with Gleason
score
- As per medical record, radical prostatectomy (RP) conducted either at MSKCC or at
another institution

- As per medical record, ≤ 9 months post-RP

- As per medical record, moderate erectile functioning pre-surgery (i.e., 15 or greater
on the IIEF Erectile Function Domain (EFD) score, or graded their erections as a 1 or
2 on the standard 5 point Urology Erectile Function scale, or have a score of 6 or
greater on the 1-10 pre-surgery erectile function scale on the SMRP assessment or have
a total score of 15 or greater on items 2-7 on the Prostrate Quality of Life Survey:
Sexual Domain)

- As per self report or as per medical record starting penile injections as part of the
erectile rehabilitation program at MSKCC

- In the judgment of the consenting professional able to communicate, comprehend, and
complete questionnaires in English

Exclusion Criteria:

- Both cavernous nerves fully resected as per surgery report (nerve sparing score of 8
in MSKCC surgeon note), or documented in the progress note that the nerves were fully
resected.

- As per self report, specific injection phobia

- In the judgment of the consenting professional is unable to provide informed consent
and complete study sessions and assessment.

- As per self report or as documented in the medical record, current untreated (e.g. no
medication no therapy) major psychiatric disorder (schizophrenia, major depression).
Patients diagnosed with a major psychiatric disorder will be reviewed by the study PI
to determine eligibility prior to consent.

- Currently a patient of Dr. Christian Nelson at Memorial Sloan Kettering Cancer Center
Counseling Center.