Experiências sexuais após prostatectomia radical não poupadora de nervos

Martínez-Bordajandi, Álvaro; Fernández‐Sola, Cayetano; Puga-Mendoza, Ana Patricia; López-Entrambasaguas, Olga María; Matheu, Manuel Lucas; Granero‐Molina, José; Medina, Isabel María Fernández; Hernández‐Padilla, José Manuel

doi:10.37689/acta-ape/2020ao02375

Cited by 4 publications

(5 citation statements)

References 33 publications

(44 reference statements)

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“…This could be explained by how the disease process is involved in the different spheres of quality of life [59,60]. Taking the clinical diagnosis as a reference for therapeutic decision-making can lead to a reduction in quality of life [21]. RP can lead to the appearance of sexual dysfunction [61,62], urinary incontinence or anastomotic stenosis [63].…”

Section: Discussionmentioning

confidence: 99%

“…Although previous evidence suggests that age is related to a higher occurrence of erectile dysfunction [23], our results suggest that a lower percentage of older adults seek medical consultation for this reason. Changes in the sexual sphere are a key concern for patients undergoing RP [21]. In addition to these organic adverse effects, other psychological and emotional chages related to the disease have been described [33].…”

Section: Discussionmentioning

confidence: 99%

“…A radical prostatectomy (RP) is recommended when aiming to cure resectable disease, which often affects patients' quality of life [21]. It can have physical consequences such as male sexual dysfunction (MSD) [22,23], urinary incontinence [24,25], and future bowel disturbances, including recurrent subocclusive symptoms [26].…”

Section: Introductionmentioning

confidence: 99%

“…In those with a Gleason score of 7 or higher, this increases to 34.5% of cases [40]. The therapeutic management of PCa has serious repercussions on both the sexual [21] and socio-familial spheres [37]. Therefore, clinicians require tools to be able to determine the final pathological stage accurately.…”

Section: Introductionmentioning

confidence: 99%

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The effect of the discrepancy between pre- and post-operative staging on decision-making and quality of life in men undergoing a radical prostatectomy

2023

Journal of Men's Health

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Prostate cancer is the most prevalent cancer and the second leading cause of oncological mortality in men. Its prognosis is estimated by normograms based on statistical methods. However, it is still a challenge to accurately determine the pathological stage from clinical data. Our aim is to describe and analyze the relationship between sociodemographic, quality-of-life and clinical variables in patients undergoing a radical prostatectomy. A cross-sectional observational study was carried out and included 51 patients undergoing a radical prostatectomy in a general hospital in southeastern Spain. The normality of all variables was studied. A descriptive and association/correlation analysis of the most relevant variables of the study was carried out. In addition, a multivariate analysis was performed to study the intergroup differences between variables with significant correlation. Age was related to a higher occurrence of erectile dysfunction (f = 10.594, p = 0.09) and to a lower percentage of consultations for this reason (x2 = 6.996, p = 0.012). Overweight/obese patients had a more aggressive result on the Gleason score (w = 151.5, p = 0.019). Differences were found between ultrasound and surgical specimen prostate volume (f = 10.324, p = 0.004). There were differences between the Gleason score result obtained from the biopsy and the surgical specimen (f = 23.330, p = 0.00001). Our results suggest that older age could be related to increased erectile dysfunction, that obesity could be related to more aggressive prostate cancer, and that there can be differences in the Gleason score between the biopsy and the final specimen. These findings suggest that the Gleason score results should be interpreted cautiously.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of the discrepancy between pre- and post-operative staging on decision-making and quality of life in men undergoing a radical prostatectomy

2023

Journal of Men's Health

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“…In Western societies oriented to performance and productivity, concern for health and body image has become paramount in men. Consequently, pathologies such as prostate cancer can not only endanger their lives, but also uncover self-image problems, stigma, job exclusion, or sexual dysfunction [9]. Help-seeking and social support for health problems are also associated with gender identity, social norms, barriers, and constructions of masculinity [10].…”

mentioning

confidence: 99%

Why Qualitative Research Should Be Used to Explore and Understand Men’s Health

Granero‐Molina¹,

Fernández‐Sola²,

Hernández‐Padilla³

2022

JOMH

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Conservative treatment of sexual dysfunction among men undergoing prostate cancer treatment: a systematic review

da Fonseca Pedroso,

Siqueira,

de Sousa Santos

et al. 2024

Sexual Medicine Reviews

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Introduction One of the changes caused by pelvic cancers is the decrease in patients’ sexual function, which influences their quality of life (QoL) during and after treatment. Sexual dysfunction (SD) is associated with severe ejaculatory dysfunction, sexual dissatisfaction, reduced libido and sexual desire, decreased intensity of orgasm, difficulty in erection, and lower sexual frequency. Objectives This systematic review investigated the effectiveness of conservative treatments (nonsurgical and nonpharmacologic) for SD in males with pelvic cancer. Methods Systematic searches were performed in the Cochrane Library, PubMed, CINAHL, PEDro, Embase, and VHL databases in September 2023 by using MeSH terms related to population, study design, intervention, and outcome. Results Only prostate cancer studies were included due to a lack of studies in other treatments. Studies used pelvic floor muscle training (8 studies); biofeedback (1 study); a penile vibrator (1 study); electrostimulation (2 studies); shock wave therapy (2 studies); aerobic, resistance, and flexibility exercises (2 studies); and a vacuum erection device (1 study). All articles assessed sexual function and reported improvements in the intervention group, including 5 with no differences between the groups. Articles involving shock wave therapy described improvements in SD but were not clinically relevant. Studies evaluating QoL reported benefits in the experimental groups. Adverse effects of a vacuum erection device and penile vibrator were reported. Conclusion Conservative treatments are more effective than others in treating SD in men with prostate cancer. Further studies are needed to assess the unwanted effects of these treatments. In this study, we found evidence that this type of therapy improves sexual function and QoL in this population.

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Experiências sexuais após prostatectomia radical não poupadora de nervos

Abstract: Experiências sexuais após prostatectomia radical não poupadora de nervos Sexual experiences after non-nerve sparing radical prostatectomy Experiencias sexuales después de prostatectomía radical sin conservación de bandeletas neurovasculares

Cited by 4 publications

References 33 publications

The effect of the discrepancy between pre- and post-operative staging on decision-making and quality of life in men undergoing a radical prostatectomy

The effect of the discrepancy between pre- and post-operative staging on decision-making and quality of life in men undergoing a radical prostatectomy

Why Qualitative Research Should Be Used to Explore and Understand Men’s Health

Conservative treatment of sexual dysfunction among men undergoing prostate cancer treatment: a systematic review

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