Health-Related Quality of Life, Self-esteem and Sexual Functioning Among Patients Operated for Penile Cancer – A Cross-sectional Study

Harju, Eeva; Pakarainen, Tomi; Vasarainen, Hanna; Törnävä, Minna; Helminen, Mika; Perttilä, Ilkka; Kaipia, Antti

doi:10.1016/j.jsxm.2021.06.015

Cited by 19 publications

(17 citation statements)

References 16 publications

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“…Also, patients with erectile disorder seemed to report lower quality of life, which was consistent with several previous studies. [37][38][39] We believe self-esteem played a major role in linking poorer quality of life with sexual dissatisfaction or erectile dysfunction, especially if combined with psychogenic aetiologies, 40 and explained the similar finding among patients with male hypoactive sexual desire disorder. The association between psychotropic medication use and some specific sexual dysfunctions was also noted.…”

Section: Main Findingsmentioning

confidence: 81%

Sexual dysfunction and associated factors in Thai patients with psychiatric disorders

2023

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BackgroundSexual dysfunction is common among patients with psychiatric disorders but might be under-reported due to Asian sociocultural factors. Recognition of sexual dysfunction and associated factors in this vulnerable population would help clinicians properly assess and manage related conditions.AimsWe aimed to examine the prevalence of sexual dysfunction and its associated factors among patients with psychiatric disorders in Thailand.MethodsThis was a cross-sectional study. We enrolled participants aged 18 and older who visited the psychiatry clinic at King Chulalongkorn Memorial Hospital in Bangkok, Thailand between August 2020 and December 2021. Demographic and clinical data were assessed, and all psychiatric disorders and sexual dysfunctions were diagnosed by clinical interview using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Statistical analysis was done to explore the association between sexual dysfunction and related factors.ResultsSexual dysfunction was diagnosed in 101 (50.0%) of the total 202 participants. The mean (standard deviation, SD) age was 30.2 (9.0) years, and the majority of patients were men (54.5%), single (81.2%), employed (47.5%) and had a coexisting depressive disorder (48.0%). Multivariable logistic regression analysis showed a significant association between sexual dysfunction and quality of life, unemployment, and the dosage of antidepressants and benzodiazepines.ConclusionsThe prevalence of sexual dysfunction among this population was relatively high. However, the findings may represent only a portion of affected psychiatric patients for others with sexual dysfunction symptoms but without functional impairment did not meet the diagnostic criteria for sexual dysfunction. Improvement of quality of life and optimising antidepressant/benzodiazepine dosage should be further investigated for promoting sexual function in patients with mental disorders.

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Section: Main Findingsmentioning

confidence: 81%

Sexual dysfunction and associated factors in Thai patients with psychiatric disorders

2023

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“…PC has an embarrassing and powerful effect on a patient's personality and therefore poses a special challenge to nursing 3–5 . PC and its treatment can seriously impact sexuality, intimacy, urinary function, mental health, body image and health‐related quality of life 5–7 . The need for social support is especially important for patients with cancer and their relatives 8 .…”

Section: Background To the Studymentioning

confidence: 99%

“…According to a systematic review of the international literature, men affected by PC experience a range of unmet supportive care needs 10 . Therefore, it is especially important to consider and support patients with PC, and, in particular, to start designing a social support network that provides them with better support 7,11 …”

Section: Background To the Studymentioning

confidence: 99%

Social support for patients with penile cancer: A mixed‐method study

Harju

Törnävä

Vasarainen

et al. 2023

Int J of Uro Nursing

Self Cite

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The research questions were as follows: How much social support do patients with penile cancer (PC) receive after surgical treatment for the condition; which factors are associated with the social support received; and how do patients with PC describe the social support they receive in terms of emotional support, affirmation and concrete aid? The purpose of this study is to describe the amount and type of social support (that is, emotional support, affirmation or concrete aid) received by patients with PC. In addition, it describes the associations between patients' background variables and their perceived social support. Men affected by PC experience a range of unmet support care needs, of which social support has not previously been thoroughly studied. Emotional support consists of caring for another person, respecting and creating a safe atmosphere for them and providing spiritual support. Affirmation is the reinforcement of knowledge and is especially evident in decision‐making processes through advising or counselling. Concrete aid means the provision of assistance in the form of an activity or service that causes the donor to use time or money for the benefit of another person. A partially mixed concurrent dominant status design was used and included semi‐structured interviews with, or letter responses from, 15 patients and a self‐reported social support score survey of 42 patients with PC. The data were analysed using descriptive statistics, a non‐parametric test and a deductive content analysis. Regarding the self‐reported social support score survey, 42 patients reported the social support as good (mean [SD]; range 4.34 [1.06]; 1–6). The most frequent form of social support was affirmation (mean [SD] 4.65 [1.07]), and the least frequent was emotional support (mean [SD] 4.14 [1.16]). Employment status and primary operation were significantly associated with the social support received. Qualitative data imply that family members are the most important emotional supporters. Emotional support from healthcare professionals was felt to be insufficient. Despite their affirmation, patients felt they received incomplete information about the disease. Patients received concrete aid from family members but felt there was a lack of professional help. Although patients deemed the overall social support received to be good, they received insufficient support from healthcare professionals (emotional support) and had unmet informational needs (affirmation) as well as uncertainties regarding income support (concrete aid). Our results can help nurses provide more holistic care to patients with PC. This information can be utilized in the development of nursing interventions for such patients and their family members. In the future, nurses' and other healthcare professionals' counselling skills should be taken into account in their training. They also need to be supported through consultation and referral resources when they reach the limits of their expertise.

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“…The disease is debilitating. It results in substantial functional impainnent and devastating psychological effects [ 152 , 153 ]. Recurrence is 28% following penile preserving therapies and 5-year mortality is 90%, whereas recurrence is 5.3% after ablation of all or part of the penis [ 152 ].…”

Section: Genital Cancersmentioning

confidence: 99%

Evidence-based circumcision policy for Australia

Morris¹,

Katelaris²,

Blumenthal³

et al. 2022

JOMH

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The aim was (1) to perform an up-to-date systematic review of the male circumcision (MC) literature and (2) to determine the number of adverse medical conditions prevented by early MC in Australia. Searches of PubMed using “circumcision” with 39 keywords and bibliography searches yielded 278 publications meeting our inclusion criteria. Early MC provides immediate and lifetime benefits, including protection against: urinary tract infections, phimosis, inflammatory skin conditions, inferior penile hygiene, candidiasis, various STIs, and penile and prostate cancer. In female partners MC reduces risk of STIs and cervical cancer. A risk-benefit analysis found benefits exceeded procedural risks, which are predominantly minor, by approximately 200 to 1. It was estimated that more than 1 in 2 uncircumcised males will experience an adverse foreskin-related medical condition over their lifetime. An increase in early MC in Australia to mid-1950s prevalence of 85% from the current level of 18.75% would avoid 77,000 cases of infections and other adverse medical conditions over the lifetime for each annual birth cohort. Survey data, physiological measurements, and the anatomical location of penile sensory receptors responsible for sexual sensation indicate that MC has no detrimental effect on sexual function, sensitivity or pleasure. US studies found that early infant MC is cost saving. Evidence-based reviews by the AAP and CDC support early MC as a desirable public health measure. Although MC can be performed at any age, early MC maximizes benefits and minimises procedural risks. Parents should routinely be provided with accurate, up-to-date evidence-based information in an unbiased manner early in a pregnancy so that they have time to weigh benefits and risks of early MC and make an informed decision should they have a son. Parental choice should be respected. A well-trained competent practitioner is essential and local anaesthesia should be routinely used. Third party coverage of costs is advocated.

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Health-Related Quality of Life, Self-esteem and Sexual Functioning Among Patients Operated for Penile Cancer – A Cross-sectional Study

Cited by 19 publications

References 16 publications

Sexual dysfunction and associated factors in Thai patients with psychiatric disorders

Sexual dysfunction and associated factors in Thai patients with psychiatric disorders

Social support for patients with penile cancer: A mixed‐method study

Evidence-based circumcision policy for Australia

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