Pd05-10 External Validation of the Sexual Minorities and Prostate Cancer Scale (Smacs) in a Sexual Majority and Minority Population Following Robotic Prostatectomy (Rarp): Nct05772598

You have accessJournal of UrologyDiversity, Equity & Inclusion: Health Equity & Outcomes I (PD05)1 May 2024PD05-10 EXTERNAL VALIDATION OF THE SEXUAL MINORITIES AND PROSTATE CANCER SCALE (SMACS) IN A SEXUAL MAJORITY AND MINORITY POPULATION FOLLOWING ROBOTIC PROSTATECTOMY (RARP): NCT05772598 Findlay E. N. MacAskill, Cyndi Torres, Bolaji Coker, Majed Shabbir, Arun Sahai, Tet Yap, and Guy's Post Pelvic Surgery Research Group Findlay E. N. MacAskillFindlay E. N. MacAskill , Cyndi TorresCyndi Torres , Bolaji CokerBolaji Coker , Majed ShabbirMajed Shabbir , Arun SahaiArun Sahai , Tet YapTet Yap , and Guy's Post Pelvic Surgery Research Group View All Author Informationhttps://doi.org/10.1097/01.JU.0001008624.07191.ab.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The major limitation of patient-reported outcome measures (PROMs) is the lack of diversity of the study populations. The Sexual Minority and Prostate Cancer Scale (SMACS) was validated with gay and bisexual men and better assesses all forms of sexual practices. We aimed to externally validate the SMACS on a heterogenous population irrespective of sexual orientation in patients undergoing RARP compared to gold standard PROMs. METHODS: This study (NCT05772598) invited all patients undergoing RARP to complete the SMACS scale alongside our standard PROMs over a 10-month period. We utilise PROMs at 5 timepoints across two years around surgery. Seven SMACS subscales (Problem Count (PC), Sexual Satisfaction (SS), Sexual Confidence (SC), Frequency of Sexual Problems (FSP), Urinary Incontinence in Sex (UI), Role in Sex (RS) and Problematic Receptive Anal Intercourse (PRS) were compared to the IIEF domains (A=Erectile Function, B=Orgasmic Function, C=Sexual Desire, D=Intercourse Satisfaction and E=Overall Satisfaction). UI was compared to ICIQLUTSqol question 16a (LQ) and ICIQUI. Correlations were done in R using Pearson method with missing data handled using pairwise deletion. A likert scale (1-5) questionnaire was used to assess acceptability. RESULTS: Three-hundred and five records were analysed. PC was moderately correlated to IIEF domains A, B and E (r=.52-.56, p<0.05) with SS being strongly correlated to domain A and moderately correlated to D and E (r=.71, r=.63-.67, p<0.05). PC was also correlated to C and D (r=.42-.48, p<0.05). SC was either correlated or moderately correlated to all domains of the IIEF (r=.46-.53, p<0.05). FSP was moderately correlated with domain E (r=.61, p<0.05) and correlated to domains A and B (r=.41-.47, p<0.05). UI, as expected was weakly correlated to domains A, B, D, E (r=.26-33, p<0.05). Given our mixed population, PRS and RIS were not correlated to IIEF domains. SMACS volume of incontinence was correlated with ICIQUI (r=-0.33, p<0.05) and UI was moderately correlated with LQ (r=-.52, p<0.05).Our patients felt the questions were appropriate (median 2, IQR 1-3) and importantly felt it completely assessed their sexual dysfunction (median 1, IQR 1-2). CONCLUSIONS: The SMACS has been shown to be correlated to many domains in the IIEF. In our mixed population, patients reported that it fully assesses their sexual dysfunction. The SMACS can be used as an inclusive assessment of sexual dysfunction with further work to validate it with other PROMs warranted. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e94 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Findlay E. N. MacAskill More articles by this author Cyndi Torres More articles by this author Bolaji Coker More articles by this author Majed Shabbir More articles by this author Arun Sahai More articles by this author Tet Yap More articles by this author Guy's Post Pelvic Surgery Research Group More articles by this author Expand All Advertisement PDF downloadLoading ...