Agochukwu-Mmonu N, Qi J, Dunn RL, et al. - Findings demonstrate significant patient- and surgeon-level variation in sexual function recovery over 2 years post-radical prostatectomy. Surgeon-level variation in sexual function outcomes may present an opportunity for collaborative quality improvement.

• This is a prospective cohort study of 1,426 male patients [median (IQR) age was 64 (58-68) years] undergoing radical prostatectomy in the Michigan Urological Surgery Improvement Collaborative (MUSIC).

• At 12- and 24-month follow-up, mean (SD) EPIC-26 (26-item Expanded Prostate Cancer Index Composite) sexual function scores failed to return to baseline levels in patients receiving bilateral nerve-sparing radical prostatectomy.

• At the patient and surgeon level, wide variation in patient-reported sexual function outcomes was evident, which persisted when controlling for patient features.

• No significant correlation was found between surgeon case volume and sexual function outcomes.

• Younger age, lower baseline EPIC-26 sexual function score, lower Gleason score, and nonobesity were linked with better recovery at 24-month follow-up.