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根治性前列腺切除术后阴茎长度缩短:男性的反应。

Penile length shortening after radical prostatectomy: men's responses.

出版信息

Eur J Oncol Nurs. 2010 Apr;14(2):160-5. doi: 10.1016/j.ejon.2009.09.001. Epub 2009 Oct 6.

DOI:10.1016/j.ejon.2009.09.001
PMID:19811950
Abstract

BACKGROUND

Prostate cancer (PC) is the most common type of male-specific cancer in North American men, and many men choose radical prostatectomy (RP) to remove their cancer. Although penile length shortening (PLS) occurs in a reported 68% to 71% of men undergoing RP, little is known about it. In an electronic journal search, only 9 medical articles (with no nursing publications) were published between 1980 and 2007.

PURPOSE

To provide an account of patients' perceptions and responses to living with PLS after RP.

METHODS AND SAMPLE

Semi-structured interviews and a grounded theory approach were used to discover the basic social processes regarding men's perceptions of a shortened penis and overall sense of self. A total of six men who underwent RP and consequently noticed PLS were recruited from a local PC support group for semi-structured interviews lasting between 40-60 min.

RESULTS

Based on subjects' own definitions of masculinity, no significant changes in the constructs of masculinity and overall self-image perception were reported.

CONCLUSIONS

Men undergoing RP may not be fully aware that PLS is a possible consequence related to treatment. In spite of this, subjects were not negatively affected by its occurrence.

摘要

背景

前列腺癌(PC)是北美男性中最常见的男性特有的癌症类型,许多男性选择根治性前列腺切除术(RP)来切除癌症。尽管据报道有 68%至 71%接受 RP 的男性会出现阴茎长度缩短(PLS),但对此知之甚少。在电子期刊搜索中,1980 年至 2007 年期间仅发表了 9 篇医学文章(没有护理出版物)。

目的

描述 RP 后患者对 PLS 的感知和反应。

方法和样本

采用半结构化访谈和扎根理论方法,发现男性对缩短阴茎和整体自我感知的基本社会过程。从当地的 PC 支持小组中招募了 6 名接受 RP 并注意到 PLS 的男性,进行了 40-60 分钟的半结构化访谈。

结果

根据受试者自己对男性气质的定义,没有报告男性气质和整体自我形象感知结构的重大变化。

结论

接受 RP 的男性可能没有充分意识到 PLS 是与治疗相关的可能后果。尽管如此,这并没有对他们的生活产生负面影响。

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