Altered male physiologic function after surgery for prostate cancer: couple perspective
| Autor: | Thomas J. Polascik, Vladimir Mouraviev, Tracey L. Krupski, Janice M. Mayes, Matvey Tsivian, Craig F. Donatucci |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Male
sexual dysfunction/physiological medicine.medical_specialty Ejaculation Urology Concordance media_common.quotation_subject medicine.medical_treatment Orgasm lcsh:RC870-923 prostatic neoplasms Surveys and Questionnaires medicine Humans Spouses Aged media_common Libido prostatectomy Prostatectomy business.industry couples therapy Coitus Middle Aged lcsh:Diseases of the genitourinary system. Urology Surgery Sexual Dysfunction Physiological Sexual dysfunction sexual dysfunction Female medicine.symptom business Physiological psychology Anejaculation |
| Zdroj: | International Brazilian Journal of Urology, Vol 35, Iss 6, Pp 673-682 (2009) International braz j urol v.35 n.6 2009 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 35, Issue: 6, Pages: 673-682, Published: DEC 2009 |
| ISSN: | 1677-5538 |
| DOI: | 10.1590/s1677-55382009000600006 |
| Popis: | Purpose: Both the diagnosis of prostate cancer (PCa) and the physiologic outcomes of surgical treatment impact the male’s 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 and methods: 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% of men and women were happy with their levels of sexual interest with 82% concordance. Urine loss during orgasm was reported by 43% of men; the majority of participants were bothered by it. Ejaculation changes were observed by 96% of men (concordance 96%) with most reporting anejaculation. A change in orgasm experience was noted by 86% of men (and 36% 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. |
| Databáze: | OpenAIRE |
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