Men’s Experience with Sexual Dysfunction Post-rectal Cancer Treatment: A Qualitative Study

Ball, Melinda; Nelson, Christian J.; Shuk, Elyse; Starr, Tatiana D.; Temple, Larissa K.; Jandorf, Lina; Schover, Leslie R.; Mulhall, John P.; Woo, Heidi; Jennings, Sabrina; DuHamel, Katherine N.

doi:10.1007/s13187-013-0492-y

Cited by 31 publications

(41 citation statements)

References 31 publications

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“…Multiple studies have shown a strong correlation between sexual dysfunction and psychosocial distress . Thus, primary care clinicians should address sexual function when managing CRC survivors.…”

Section: Assessment and Management Of Physical And Psychosocial Long‐mentioning

confidence: 99%

See 1 more Smart Citation

American Cancer Society Colorectal Cancer Survivorship Care Guidelines

El-Shami

Oeffinger

Erb

et al. 2015

CA A Cancer J Clinicians

356

316

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Colorectal cancer (CRC) is the third most common malignant disease in the United States (U.S.). Almost two-thirds of CRC survivors are living 5 years following diagnosis. The prevalence of CRC survivors is likely to increase dramatically over the coming decades with further advances in early detection and treatment and the aging and growth of the U.S. population. Survivors are at risk for a CRC recurrence, a new primary CRC, other cancers, as well as both short and long-term adverse effects of the CRC and the modalities used to treat it. CRC survivors may also have psychological, reproductive, genetic, social, and employment concerns following treatment. Communication and coordination of care between the treating oncologist and the primary care clinician is critical to effectively and efficiently manage the long-term care of CRC survivors. The following guidelines are intended to assist primary care clinicians in delivering risk-based health care for CRC survivors who have completed active therapy.

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Section: Assessment and Management Of Physical And Psychosocial Long‐mentioning

confidence: 99%

“…Multiple studies have shown a strong correlation between sexual dysfunction and psychosocial distress. [129][130][131][132] Thus, primary care clinicians should address sexual function when managing CRC survivors. Some therapies are available for men and women who experience symptoms or signs of sexual dysfunction.…”

Section: Painmentioning

confidence: 99%

American Cancer Society Colorectal Cancer Survivorship Care Guidelines

El-Shami

Oeffinger

Erb

et al. 2015

CA A Cancer J Clinicians

356

316

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“…18,19 these scales have been used to develop internet-based online support and sex therapy for patients in distress and have been shown to be feasible and effective in both female and male patients. 20,21 Ball et al 22 have performed a qualitative study of 13 male patients 6 years following treatment for rectal cancer and have found similar results. in their study, the participants also prioritized survival at the time of diagnosis, had a desire for education regarding the impact of cancer treatment on sexual function, particularly in the postoperative period, and endorsed a psychoeducational sexual health intervention.…”

Section: Discussionmentioning

confidence: 77%

Prevalence of Physiologic Sexual Dysfunction Is High Following Treatment for Rectal Cancer

Leon-Carlyle

Schmocker

Victor

et al. 2015

Diseases of the Colon &Amp; Rectum

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The results of this study show that sexual problems continue to increase up to 1 year after surgery. Despite this, sexual interest in both male and female patients remained relatively unchanged suggesting that other aspects of sexuality, not just physiologic function, also need to be evaluated. Future studies to assist and educate physicians on how to initiate a discussion about sexuality and identify patients in "distress" because of sexual problems are important.

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“…For example, there are religious norms that prohibit some patients (e.g., some Muslims, Orthodox Jewish persons) from being touched by gender-discordant physicians [13][14][15]. Among some men seeking care for issues related to sexual health, there may be a sense that being examined by women is "impolite" and that discussing issues such as sexual behaviors or erectile dysfunction is improper with female students [16][17][18]. This paper discusses the ethical principles related to gender-concordant clinician requests and suggests a team-based approach for addressing such requests within academic medical centers.…”

mentioning

confidence: 99%

How Should Physicians Respond When Patients Distrust Them Because of Their Gender?

Peek¹,

Fernández

2017

AMA Journal of Ethics

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There are many reasons why gender-concordant care benefits patients and is requested by them. For training hospitals, however, such requests present challenges as well as opportunities in providing patient-centered care. Responding to a case in which a female patient who is having a routine exam refuses care from a male medical student, we discuss ethical principles involved in gender-concordant care requests, when it is appropriate to question such requests, and a team-based approach to responding to them. CaseA male medical student on his obstetrics-gynecology clerkship is assigned a 35-year-old female patient in the outpatient clinic who comes in for a routine well-woman exam, including a pelvic examination and Pap test, clinical breast examination, and discussion about contraception management. The student enters the examination room and introduces himself, but the patient straightforwardly tells him that she would prefer a woman student. The student feels conflicted and confused. He is committed to patientcentered care and wants to be respectful of the patient's wishes, but he also feels some frustration at not being able to conduct clinical activities that are a routine part of education in the rotation. He is unclear about what is appropriate to discuss with patients, or even with the attending physician, about his involvement in the care of this particular patient. When he emerges from the room and lets the attending physician know that the patient refused his exam, she simply instructs him to wait for the next patient.

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Men’s Experience with Sexual Dysfunction Post-rectal Cancer Treatment: A Qualitative Study

Cited by 31 publications

References 31 publications

American Cancer Society Colorectal Cancer Survivorship Care Guidelines

American Cancer Society Colorectal Cancer Survivorship Care Guidelines

Prevalence of Physiologic Sexual Dysfunction Is High Following Treatment for Rectal Cancer

How Should Physicians Respond When Patients Distrust Them Because of Their Gender?

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