What Women Want: Radical Cystectomy and Perioperative Sexual Function Educational Needs
| Autor: | Andrea Kokorovic, Kelly K. Bree, Jane Frank, Mary E. Westerman, Xin Shelly Wang, Colin P.N. Dinney, Neema Navai, Ashish M. Kamat |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment Sexual Behavior 030232 urology & nephrology Psychological intervention Cystectomy 03 medical and health sciences 0302 clinical medicine Sex Counseling Patient Education as Topic Surveys and Questionnaires medicine Humans Sexual Dysfunctions Psychological Perioperative Period Reproductive health Aged business.industry Patient Preference Perioperative Middle Aged Sexual dysfunction Dyspareunia Urinary Bladder Neoplasms 030220 oncology & carcinogenesis Family medicine Needs assessment Vagina Patient-reported outcome Female medicine.symptom Sexual Health business Sexual function Organ Sparing Treatments Needs Assessment |
| Zdroj: | Urology. 157 |
| ISSN: | 1527-9995 |
| Popis: | Objective To assess the extent and adequacy of pre-operative sexual function (SF) counseling in females undergoing radical cystectomy (RC) and develop educational material to improve identified deficits. Methods A 10-question survey was electronically delivered to all females who underwent RC at a single institution between 2015 and 2020. 23 of 145 patients responded (15.9%). In addition, women on the Bladder Cancer Advocacy Network (BCAN) patient discussion board were also queried. The primary outcome was the development of a patient educational handout based on patient perception of pre-operative SF counseling and self-reported changes in post-operative SF. Results 22 women, 84% of whom were sexually active, met the inclusion criteria. More than half (12/22, 54.5%) reported receiving no pre-operative counseling regarding possible SF changes while another 27.3% (6/22) received some counseling but desired more. Most women rated vaginal preservation as moderate to very important (17/22, 77.3%) and nearly all women noted at least one change in SF, most commonly dyspareunia (13/22, 59.1%). Most also desired more information regarding female sexual health. Separately, the BCAN discussion board was queried regarding patient preference for modality of pre-operative counseling. 77.8% (14/18) preferred a discussion with provider and 13/18 (72.2%) also wanted a written handout. Conclusions Sexual dysfunction is prevalent following RC in women and many desire more pre-operative counseling, regardless of disease stage or receipt of chemotherapy. These findings supported our development of interventions to improve pre-operative education as well as strategies to address post-operative SF changes, such as dyspareunia. |
| Databáze: | OpenAIRE |
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