Sexual Dysfunction After Radical Prostatectomy: Prevalence, Treatments, Restricted Use of Treatments and Distress

Matthew, Andrew; Goldman, Adam; Trachtenberg, John; Robinson, John W.; Horsburgh, Sheri; Currie, Kristen L.; Ritvo, Paul

doi:10.1097/01.ju.0000181206.16447.e2

Cited by 100 publications

(72 citation statements)

References 46 publications

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“…Studies as well as review articles on this topic that summarize research to date are available in this and other publications. 1,3,5,6,8,9,[11][12][13][14] In spite of the advances toward the restoration of erectile functioning promoted by nerve-sparing surgery, [15][16][17][18] penile rehabilitation 16,[19][20][21][22] and erectogenic aids, 3,11,[23][24][25] satisfaction with erectile dysfunction treatment appears to vary with the particular treatment, and is typically reported not to be high by the men who sought help. 13,26,27 Miller et al 28 reported that only 10% of men were satisfied with their treatments.…”

Section: Resultsmentioning

confidence: 99%

“…Men's infrequent pursuit of erectogenic help suggests that other factors in sexual recovery may have a significant role. Psychosocial aspects of sexual recovery are cited in some studies 3,29 and offer an opportunity to examine the context of erectile recovery.…”

Section: Resultsmentioning

confidence: 99%

“…1 Erectile dysfunction is defined as the incapacity to achieve and maintain a penile erection sufficient to attain satisfactory sexual relations. 2 Erectile dysfunction occurs in 25-85% of patients after surgical treatments (that is, prostatectomy), 3,4 in 32-67% after radiation treatment, 5 and in approximately 71% following short-term neoadjuvant hormonal therapy. 6 Erectile dysfunction occurs immediately after a prostatectomy with recovery of erection, often partial, taking up to, approximately, 2 years.…”

Section: Introductionmentioning

confidence: 99%

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The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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Prostate cancer affects one in six American men. Erectile and sexual dysfunctions are long-term side effects of prostate cancer treatment. PubMed database was searched for papers on prostate cancer-related sexual recovery for men and couples. The search yielded articles on (1) the treatment of erectile dysfunction, (2) men's psychological and culturally diverse adaptation to the sexual side effects; (3) the impact of prostate cancer on couples' relationships; and (4) interventions to promote sexual function. Erectile dysfunction after prostate cancer treatment has been widely studied.Research on the sexual recovery of men and couples or understanding it in a cultural context is scarce. Greater focus on the impact of sexual sequelae of prostate cancer treatment on men as well as couples in diverse groups is needed. Clinical implications for treating sexual dysfunction and promoting sexual recovery for prostate cancer survivors and their partners are discussed. Recommendations for future research are provided.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The psychosocial aspects of sexual recovery after prostate cancer treatment

et al. 2009

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“…34 Although surgical removal of the prostate gland is associated with a high 10 year survival rate in localized cases (93%), 34 sexual dysfunction is a common and often enduring side effect of this treatment. [35][36][37] In one major survey, 85% of patients reported experiencing some erectile dysfunction within the last 6 months even 4.3 years after treatment, and 61% reported moderate or extreme distress relating to this dysfunction. 35 Prior work has indicated that psychological interventions directed at psychoeducation or teaching stress management skills can improve aspects of quality of life in men recovering from PCa treatment.…”

Section: Psychological Interventions For Men Recovering From Prostatementioning

confidence: 99%

Promoting recovery of sexual functioning after radical prostatectomy with group-based stress management: The role of interpersonal sensitivity

Molton

Siegel²,

Penedo

et al. 2008

Journal of Psychosomatic Research

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Objective-Treatment for localized carcinoma of the prostate (PCa) is frequently associated with decrements in sexual functioning and satisfaction. Given the highly interpersonal nature of these decrements, interpersonal problems (such as interpersonal sensitivity) may affect recovery of sexual functioning after PCa treatment by interfering with physician and partner communication and through distorted cognitions surrounding sexual dysfunction. The objective of the present study was to determine the effect of interpersonal sensitivity on several treatment indicators, including response to a group based psychosocial intervention.Methods-Participants were 101 older men recovering from radical prostatectomy and were enrolled in a randomized controlled trial of a 10-wk group-based cognitive behavioral stress management (CBSM) intervention. Measures included the Inventory of Interpersonal Problems (IIP) and the Sexual Functioning subscale of the UCLA quality of life measure.Results-At baseline, interpersonal sensitivity was related to a belief linking sexual dysfunction to core male identity (r = .29, p < .05). Using hierarchical regression, we found that (a) the CBSM intervention was effective in promoting sexual recovery in all participants and that (b) this effect was moderated by interpersonal sensitivity, such that individuals with higher levels of interpersonal sensitivity made larger improvements in sexual functioning in response to CBSM.Conclusions-CBSM was effective for improving sexual function after radical prostatectomy. Individuals with higher levels of interpersonal sensitivity were more likely to perceive sexual dysfunction as a threat to masculine identity and made larger gains in the CBSM intervention. Results and relevance to the older male cancer patient are discussed from the perspective of interpersonal theory.

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“…Approximately 85% of men who are started on ADT experience a number of sexual side effects ( Figure 2) of which loss of erections is the single most troublesome 36 in patients who have curative therapy for PCa and the literature demonstrates that both patients and partners are affected negatively by ED. 37,38 Improving QoL can be achieved by improvements in ED which in turn improve sense of masculinity and self-esteem.…”

Section: Sexual Changesmentioning

confidence: 99%

Quality of life issues in men undergoing androgen deprivation therapy: a review

Casey¹,

Corcoran²,

Goldenberg³

2012

Asian J Androl

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Androgen deprivation therapy (ADT) has been an essential treatment option for treating prostate cancer (PCa). The role for hormonal treatment initially was restricted to men with metastatic and inoperable, locally advanced disease. Now it has been extended to neoadjuvant or adjuvant therapy for surgery and radiotherapy, for biochemical relapse after surgery or radiation, and even as primary therapy for non-metastatic disease. Fifty percent of PCa patients treated will receive ADT at some point. There is growing concern about the adverse effects and costs associated with more widespread ADT use. The adverse effects on quality of life (QoL), including physical, social and psychological well-being when men are androgen-deprived, may be considerable. This review examines the QoL issues in the following areas: body feminisation, sexual changes, relationship changes, cognitive and affective symptoms, fatigue, sleep disturbance, depression and physical effects. Further suggestions for therapeutic approaches to reduce these alterations are suggested.

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Sexual Dysfunction After Radical Prostatectomy: Prevalence, Treatments, Restricted Use of Treatments and Distress

Abstract: Our findings reveal the need to explore broader strategies for improving patient coping ability and adaptation. They also point to the need to explore the role of resumed satisfying sexuality in overall quality of life following treatment.

Cited by 100 publications

References 46 publications

The psychosocial aspects of sexual recovery after prostate cancer treatment

The psychosocial aspects of sexual recovery after prostate cancer treatment

Promoting recovery of sexual functioning after radical prostatectomy with group-based stress management: The role of interpersonal sensitivity

Quality of life issues in men undergoing androgen deprivation therapy: a review

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