Altered male physiologic function after surgery for prostate cancer: couple perspective
Int. braz. j. urol
;
35(6): 673-682, Nov.-Dec. 2009. tab, ilus
Artigo
em Inglês
| LILACS
| ID: lil-536800
ABSTRACT
Purpose:
Both the diagnosis of prostate cancer (PCa) and the physiologic outcomes of surgical treatment impact the males psychological sphere. However, current research advocates a refocusing of outcomes directed to the PCa couple. Herein we acquire insight into perspective and concordance regarding male physiological function from the standpoint of a couple recovering from PCa surgery. Materials andmethods:
Couples whereby the male partner had undergone primary surgical treatment for PCa were mailed a Retrospective Sexual Survey (RSS) packet consisting of male and female partner questionnaires. RSS questions surveyed physiological changes in libido, foreplay, erection and arousal, orgasm and ejaculation in addition to perceived psychological impact. Patients and partners scores were evaluated to determine the concordance of both individual items as well as domain sums.Results:
Twenty-eight couples completed the questionnaires. Only about 40 percent of men and women were happy with their levels of sexual interest with 82 percent concordance. Urine loss during orgasm was reported by 43 percent of men; the majority of participants were bothered by it. Ejaculation changes were observed by 96 percent of men (concordance 96 percent) with most reporting anejaculation. A change in orgasm experience was noted by 86 percent of men (and 36 percent of their female partners, p < 0.0001). Despite the change, the majority of men and women reported being satisfied with their ability to climax.Conclusion:
Our results indicate that patients and their female partners may interpret differently the same physiological outcomes of PCa surgery. This information could be useful to better counsel the PCa couple and help patients and partners adjust after surgery.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Neoplasias da Próstata
/
Disfunções Sexuais Fisiológicas
/
Coito
/
Cônjuges
Tipo de estudo:
Pesquisa qualitativa
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Int. braz. j. urol
Assunto da revista:
Urologia
Ano de publicação:
2009
Tipo de documento:
Artigo
País de afiliação:
Estados Unidos
Instituição/País de afiliação:
Duke University Medical Center/US
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