1042 Optimising Sexual Health and Wellbeing Post-Prostatectomy – Development of a Streamlined Prehabilitation Pathway to Erectile Dysfunction Resources in One South Wales Health Board

Aim Radical Prostatectomy (RALP) has a significant deleterious effect on erectile function, with the majority experiencing insufficient erections, significantly affecting emotional wellbeing, which some patients feel poorly counselled for. The aims: 1. Create a pathway to access Erectile dysfunction (ED) materials pre-operatively (online and visual resources). 2. ED treatment being commenced pre-procedure. 3. Improve RALP patient experience and outcomes with ED. Method We assessed records of 40 patients under 2 consultants between Aug 2022 and Feb 2023 across one health board, reviewing the pre-operative, 6 weeks post-operative, and specialist ED clinic. Notes were assessed for NICE guideline compliance to ED counselling, pre and post operative treatment and specialist clinic review. Results Mean age was 64 years (range 50-73). ED was mentioned in 75% of pre-op clinics, but only 15% mentioned specific ED treatments. ED treatment prior to RALP in 1 patient. None had ED quantification (SHIM) as per NICE guidelines. At 6-weeks 43% of all patients started on treatment. 72% of patients were eventually referred to specialist ED services. Current wait times to access the specialist ED service is poor, mean wait times 115 days. Conclusions These results demonstrate poor compliance with NICE guidelines, at present indicating poorly counselled patients with likely dissatisfaction affecting emotional and mental wellbeing. This audit provides an opportunity to streamline the service and create access to newly available resources for patients to access pre- and post-RALP and aim for re-audit to quantify new service with PROMS and better NICE guideline compliance.