Department of Urology, Leiden University Medical Center, PO Box 9600, 2300 WB, Leiden, The Netherlands.
Department of Medical and Clinical Psychology, Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands.
Support Care Cancer. 2018 Dec;26(12):4169-4176. doi: 10.1007/s00520-018-4290-2. Epub 2018 Jun 7.
To determine which health care provider and what timing is considered most suitable to discuss sexual and relational changes after prostate cancer treatment according to the point of view of men and their partners.
A cross-sectional survey was conducted among men diagnosed with prostate cancer or treated after active surveillance, who received laparoscopic radical prostatectomy, brachytherapy, intensity-modulated radiotherapy, and/or hormonal therapy. If applicable, partners were included as well.
In this survey, 253 men and 174 partners participated. Mean age of participating men was 69.3 years (SD 6.9, range 45-89). The majority (77.8%) was married and average length of relationship was 40.3 years (SD 14.1, range 2-64). Out of 250 men, 80.5% suffered from moderate to severe erectile dysfunction. Half of them (50.2%, n = 101) was treated for erectile dysfunction and great part was partially (30.7%, n = 31) up to not satisfied (25.7%, n = 26). Half of the partners (50.6%, n = 81) found it difficult to cope with sexual changes. A standard consultation with a urologist-sexologist to discuss altered sexuality is considered preferable by 74.7% (n = 183). Three months after treatment was the most suitable timing according to 47.6% (n = 49).
During follow-up consultations, little attention is paid to the impact of treatment-induced sexual dysfunction on the relationship of men with prostate cancer and their partners. A standard consultation with a urologist-sexologist 3 months after treatment to discuss sexual and relational issues is considered as most preferable.
根据男性及其伴侣的观点，确定讨论前列腺癌治疗后性和关系变化时，哪种医疗保健提供者和何时最为合适。
对接受腹腔镜根治性前列腺切除术、近距离放射治疗、调强放疗和/或激素治疗的前列腺癌患者或接受主动监测治疗的患者进行横断面调查。如果适用，还包括伴侣。
本调查共纳入 253 名男性和 174 名伴侣。参与男性的平均年龄为 69.3 岁（标准差 6.9，范围 45-89）。大多数（77.8%）已婚，平均伴侣关系持续时间为 40.3 年（标准差 14.1，范围 2-64）。在 250 名男性中，80.5%患有中重度勃起功能障碍。其中一半（50.2%，n=101）接受了勃起功能障碍治疗，大部分（30.7%，n=31）治疗效果部分满意（25.7%，n=26）。一半的伴侣（50.6%，n=81）发现难以应对性变化。74.7%（n=183）的人认为与泌尿科性治疗师进行标准咨询以讨论改变的性健康状况是可取的。47.6%（n=49）的人认为治疗后 3 个月是最合适的时间。
在随访咨询中，对治疗引起的性功能障碍对前列腺癌男性及其伴侣关系的影响关注甚少。治疗后 3 个月与泌尿科性治疗师进行标准咨询以讨论性和关系问题被认为是最合适的。
