Men's Sexual and Relational Adaptations to Erectile Dysfunction After Prostate Cancer Treatment

Wassersug, Richard J.; Westle, Andrew; Dowsett, Gary W.

doi:10.1080/19317611.2016.1204403

Cited by 34 publications

(34 citation statements)

References 33 publications

(42 reference statements)

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“…GBMPCa have different support needs about the sexual side effects of prostate cancer treatment. For example, GBMPCa who have had a radical prostatectomy have a particular sadness regarding the loss of ejaculate, which some have argued is distinctly central in gay sex (Mitteldorf, 2005;Wassersug, Westle, & Dowsett, 2017). For GBMPCa engaging in receptive anal sex, changes to sensitivity and bowel function or worries about radiation exposure for their partner have direct implications (Nasser, Cohen, Dauer, & Zelefsky, 2016;.…”

mentioning

confidence: 99%

Social Support and Health-Related Quality of Life Among Gay and Bisexual Men With Prostate Cancer

Capistrant¹,

Lesher²,

Kohli³

et al. 2018

ONF

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mentioning

confidence: 99%

Social Support and Health-Related Quality of Life Among Gay and Bisexual Men With Prostate Cancer

Capistrant¹,

Lesher²,

Kohli³

et al. 2018

ONF

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“…What was interesting, though, was the diversity of novel practices and options between those extremes. Data from 348 of the men ( 27 ) confirmed that it was possible for many men to reframe their sexual practices, and that having a supportive sex partner was of major importance for many in exploring new sexual practices.…”

Section: The Relevance Of Iief For Men In the Context Non-erection Dementioning

confidence: 97%

“…Indeed, many manage to find rewarding orgasmic sex even with chronic ED. Survey data from 558 prostate cancer patients provided insights into how both heterosexual and non-heterosexual men’s sexual practices can change as a result of their prostate cancer treatments ( 27 , 120 ). At one extreme, many men asserted that their “ sex life was over ” as a result of iatrogenic ED.…”

Section: The Relevance Of Iief For Men In the Context Non-erection Dementioning

confidence: 99%

“…In those studies ( 27 , 120 ), men’s sexual practices were diverse and included using various non-surgical sex aids (dildos, vibrators, etc.) in both solo and partnered sex.…”

Section: The Relevance Of Iief For Men In the Context Non-erection Dementioning

confidence: 99%

“…Some men, for example, adapt to ED during prolonged periods of sexual inactivity before receiving treatment. Partner’s disinterest can potentially exacerbate or attenuate patients’ acceptance and sustained use of physiologically effective ED treatments ( 26 , 27 ). Often when men are burdened with ED, such as secondary to prostate cancer treatments, their female partners are facing their own changes in sexual function, such as the vaginal drying associated with menopause.…”

Section: Introductionmentioning

confidence: 99%

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Non-pharmacological and non-surgical strategies to promote sexual recovery for men with erectile dysfunction

Wassersug¹,

Wibowo²

2017

Transl. Androl. Urol.

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Erectile dysfunction (ED), the most commonly reported sexual problem for men, reduces the quality of life for both patients and their partners. Even when physiologically effective, long-term adherence to ED treatments is poor. We review here the implication of having patients’ partners involved in ED treatment, starting with treatment selection. We suggest that having partners engaged from the outset may promote an erotic association of the treatment with the partner, i.e., conceptually linking the aid to the sexual pleasure that the partner provides. We hypothesize that this erotic association should enhance the sexual aid’s effectiveness and might potentially help improve long-term adherence. The primary focus of this review, though, is non-pharmacological and non-surgical options for maintaining sexual activity for men with ED. Though not ED treatments per se, anecdotal data suggest that these options may be effective for some patients and their partners in regaining a satisfying sex life. The aids discussed include external penile prostheses, penile sleeves, and penile support devices. These devices can allow men to participate in penetrative sexual intercourse despite moderate to severe ED. External penile prostheses can be personalized so they match in size and shape a man’s normal full erection. Penile sleeves can similarly be customized with a lumen that fits best a patient’s penis for optimal tactile stimulation. We review how multi-sensory integration can enhance sexual arousal for men who use such devices, allowing them to achieve orgasm despite intractable ED. Patients are not always advised within ED clinics about these options nor why and how they can facilitate non-erection dependent sexual recovery. Clinicians need to be aware of these devices and their positive attributes, so they can objectively counsel and encourage couples to explore their use as an alternative to more invasive treatments. The most commonly promoted non-medical ED aid offered to patients is the vacuum erection device. We discuss how erections achieved with the vacuum erection device have a “hinge effect”, that is an underappreciated barrier to the effectiveness of the erection. With a hinged erection, the penis points downward rather than upward. We show how the normal kinematics of the penis during coitus is not strictly linear (i.e., not uniaxial; not just in-and-out), and is impeded by hinging. Positional adjustment, such as the receptive partner being on top, may help overcome this problem for some couples. Lastly, we suggest that, in the case where ED can be anticipated from a pending medical treatment, such as a prostatectomy, pre-habilitative approaches may potentially improve adherence to sexual aid use in the long-term. In conclusion, non-pharmacological and non-surgical options for sexual recovery are available. Scientific studies on the effectiveness of these interventions in restoring satisfying sex are warranted.

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Men’s experiences of sex and intimacy after prostate cancer treatment in China: a qualitative study

Wang

Cheng

Wong

et al. 2021

Support Care Cancer

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Purpose While the existing knowledge base on the impact of prostate cancer (PC) and its treatment on sexuality and intimacy has been generated from Western populations, there is a lack of such evidence in the Asian context. This study aimed to explore men’s experiences of sex and intimacy after PC treatment in China. Methods This study adopted an interpretive descriptive design. Using purposive sampling, 13 PC patients were selected from a urology outpatient unit of a hospital in South China and proceeded with individual semi-structured telephone interviews. Each interview was transcribed verbatim and analyzed using constant comparison analysis. Results Four themes emerged from the interview data, including (a) encountering altered sexuality, (b) communication and sexual adjustments, (c) maintenance of quality intimate relationship, and (d) lack of sexual health support. Conclusions The findings revealed that PC treatment significantly impaired patients’ sexual functions, and their sexual health needs were mainly unmet by healthcare providers. There is a great need to design culturally relevant interventions to improve sexual health among this population. Supplementary Information The online version contains supplementary material available at 10.1007/s00520-021-06720-w.

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Men's Sexual and Relational Adaptations to Erectile Dysfunction After Prostate Cancer Treatment

Cited by 34 publications

References 33 publications

Social Support and Health-Related Quality of Life Among Gay and Bisexual Men With Prostate Cancer

Social Support and Health-Related Quality of Life Among Gay and Bisexual Men With Prostate Cancer

Non-pharmacological and non-surgical strategies to promote sexual recovery for men with erectile dysfunction

Men’s experiences of sex and intimacy after prostate cancer treatment in China: a qualitative study

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