Pain and Loss of Pleasure in Receptive Anal Sex for Gay and Bisexual Men following Prostate Cancer Treatment: Results from the <i>Restore-1</i> Study

Wheldon, Christopher W.; Polter, Elizabeth J.; Rosser, B. R. Simon; Kapoor, Aditya; Talley, Kristine Mc; Haggart, Ryan; Kohli, Nidhi; Konety, Badrinath R.; Mitteldorf, Darryl; Ross, Michael W.; West, William; Wright, Morgan

doi:10.1080/00224499.2021.1939846

Cited by 13 publications

(10 citation statements)

References 36 publications

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“…According to these studies, PCa treatment appears to impact SD PCa survivor's bowel and urinary functions, as well as their sexual health more negatively than heterosexual PCa survivors [35,36 ▪ ,37]. Following PCa treatment, men may struggle getting or maintaining an erection, ejaculating, and lose ability to have sex spontaneously [35,37,38]. In this context, some authors note the specific requirements for pleasurable vaginal and anal intercourse as those may differ in SGD patients.…”

Section: Resultsmentioning

confidence: 99%

“…A large number of publications investigated life after prostate cancer (PCa) for SD men. According to these studies, PCa treatment appears to impact SD PCa survivor's bowel and urinary functions, as well as their sexual health more negatively than heterosexual PCa survivors [35,36 ▪ ,37]. Following PCa treatment, men may struggle getting or maintaining an erection, ejaculating, and lose ability to have sex spontaneously [35,37,38].…”

Section: Resultsmentioning

confidence: 99%

“…In this context, some authors note the specific requirements for pleasurable vaginal and anal intercourse as those may differ in SGD patients. They report that the rigidity of an erection required for anal penetration is often higher than vaginal penetration which needs to be taken into consideration when discussing these psychosexual quality of life topics with SD PCa survivors [35,37]. In addition, receiving anal intercourse appears to be more painful following PCa treatment and men may have bowel dysfunctions which impact anal intercourse [35].…”

Section: Resultsmentioning

confidence: 99%

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Sexual and gender diversity in cancer care and survivorship

Schulz-Quach

Kennedy

Lyver

2023

Current Opinion in Supportive &Amp; Palliative Care

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Purpose of the review Sexual and gender diverse (SGD) cancer patients possess unique identities and needs that must be considered during their cancer care. This narrative review explores the current literature on sexual and gender diversity in cancer care and survivorship, in addition to providing recommendations encouraged by the current literature. Recent findings We performed a literature search for articles published in English between January 2021 and June 2022 in Medline ALL and Embase. Fifty-two studies were included in this review. The many identities encapsulated in 2SLGBTQIA+ (2 Spirited, Lesbian, Gay, Bisexual, Transgender, Queer, Intersexual, Asexual, Agender, Aromantic and all gender identities and sexual orientations that are not listed) communities each have their own unique backgrounds, needs and disparities in cancer care and survivorship. However, we also identified specific protective factors in the cancer experience of SGD patients such as reports of higher resiliency and stronger support networks. Much of the recent research features recommendations on improving cancer care by creating inclusive patient questionnaires, improving in-person and online resources, and educating healthcare providers and patient-facing staff on inclusive care. Summary SGD patients have their own specific challenges during and following their cancer care. As the research continues to grow, we gain a better understanding of the needs of these patients and future steps to take to improve SGD patients’ cancer experience.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Sexual and gender diversity in cancer care and survivorship

Schulz-Quach

Kennedy

Lyver

2023

Current Opinion in Supportive &Amp; Palliative Care

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“…Changes in sexual practice, for example, from an insertive to receptive role, may seem to be an option but, in reality, may be undesirable both physically and psychologically for many men. 4 , 32 , 33 , 34 , 35 Sexual changes often lead to a higher rate of psychological distress and isolation for MSM with PCa compared with heterosexual men. 26 , 36 This evidence indicates a need for targeted interventions specific for MSM PCa patients.…”

Section: Resultsmentioning

confidence: 99%

Development of a Sexual Quality of Life Questionnaire for Men-Who-Have-Sex-With-Men With Prostate Cancer

et al. 2022

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Background: Prostate cancer (PCa) is often diagnosed early with prolonged survival, which makes sexual quality of life (QoL) an increasingly important treatment consideration, but existing QoL questionnaires have limited applicability for men who-have-sex-with-men (MSM) beyond penile erections and penetrative sex. Aim: We aimed to create a validated survey instrument for assessing a variety of sexual activities beyond penile insertive sex for MSM after PCa treatment. Methods: Based on our previously published survey findings, we have generated a prototype questionnaire with 13 different domains, reviewed by both healthy MSM and pilot-tested by MSM treated for PCa.Outcomes: We report here on progress in developing the questionnaire and demonstrate the complexity of MSM sexual side effects resulting from PCa treatment(s). Results: Statistical analysis of 204 responses from MSM treated for PCa showed that each domain performed well individually (Cronbach's alpha coefficients ranged from 0.80 to 0.95; item-total correlations ranged from 0.16 to 0.89), with many significant intercorrelations between the domains (ranged from -0.048 to 0.93). Clinical Implications: The questionnaire can contribute to clinical diagnosis and treatment decisions that best fit the preferred sexual practices of individual MSM. Strengths & Limitations:The current questionnaire considers a much broader repertoire of MSM's sexual practices and preferences than other currently available questionnaires. The high intercorrelations between the many parameters demonstrate that problems in one domain can affect other domains. This preliminary analysis warrants further exploration with a larger sample size. Conclusions: Once validated our questionnaire should help develop tailored psychosocial supports for MSM experiencing sexual dysfunction after PCa treatment and help newly diagnosed MSM with PCa make treatment decisions informed by their preferred sexual practices. Wibowo E, Dowsett GW, Nelson CJ, et al. Development of a Sexual Quality of Life Questionnaire for Men-Who-Have-Sex-With-Men With Prostate Cancer. Sex Med 2021;XX:XXXXXX.

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“…Based on available data, 15% to 23% of gay and bisexual men treated for prostate cancer met the criteria for anodyspareunia based on the requirements for diagnosing genito-pelvic pain/penetration disorder. 5,6 Anodyspareunia can be notably distressing and worsen the quality of life in this population. 5 Cancer therapies, such as hormone treatment, chemotherapy, and radiation therapy, can also change prostate sensation, an important component of sexual stimulation in receptive anal intercourse.…”

mentioning

confidence: 99%