One of the most common side effects of urologic cancer and its treatment is sexual dysfunction. This negative consequence can occur because of changes in anatomy and/or the physiologic response to sexual stimuli, but also due to the psychological impact of those physical changes and the cancer experience. Sexual health is a key part of survivorship, but it is under-emphasized in training and can be overlooked in clinical practice. To support the sexual health of the urologic cancer survivor, the urologic oncologist should: 1) acknowledge and educate the patient about the potential effects, 2) be sensitive to identifying sexual issues as they arise, and 3) be aware of treatment strategies and be able to access the team members needed to provide these strategies. As sexual function requires a complex interplay of anatomy, physiology, and psychology, so does addressing sexual dysfunction resulting from cancer treatment. In this special Seminars issue, we review the sexual dysfunction consequences of urologic cancers in both men and women and strategies to maximize sexual health.

泌尿系统癌症及其治疗最常见的副作用之一是性功能障碍。这种负面后果可能是由于解剖结构和/或对性刺激的生理反应的变化，也可能是由于这些身体变化和癌症经历的心理影响。性健康是生存的关键部分，但在培训中没有得到重视，在临床实践中可能被忽视。为了支持泌尿系统癌症幸存者的性健康，泌尿系统肿瘤科医生应该：1）承认并教育患者潜在的影响，2）在出现性问题时敏感识别，3）了解治疗策略并能够访问提供这些策略所需的团队成员。由于性功能需要解剖学、生理学和心理学的复杂相互作用，解决癌症治疗引起的性功能障碍也是如此。在本期专题研讨会中，我们回顾了泌尿系统癌症对男性和女性的性功能障碍后果以及最大限度地提高性健康的策略。