Rosser B R Simon, Capistrant Benjamin, Torres Maria Beatriz, Konety Badrinath, Merengwa Enyinnaya, Mitteldorf Darryl, West William
Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN, USA.
Department of Communication Studies, Gustavus Adolphus College, St. Peter, MN, USA.
Sex Relation Ther. 2016;31(4):432-445. doi: 10.1080/14681994.2016.1217985. Epub 2016 Aug 29.
To advance research on the sexual effects of prostate cancer in sexual minorities, we conducted telephone interviews with 19 gay and bisexual men (GBM) who had undergone radical prostatectomies. Challenges to sexual functioning included anatomical penile changes, loss of ejaculate, climacturia, and erectile dysfunction. All sexual behavior with other men, not just insertive anal sex, was affected, across all stages of the sexual response cycle. Rather than narrowly focusing on erectile functioning, rehabilitation for GBM needs to be comprehensive in addressing anatomical changes, sexual behavior comprehensively, and functioning across the sexual response cycle. Seven recommendations for practitioner education are identified.
为推动对性少数群体中前列腺癌性影响的研究,我们对19名接受了根治性前列腺切除术的男同性恋者和双性恋男性进行了电话访谈。性功能方面的挑战包括阴茎解剖结构改变、射精丧失、遗尿和勃起功能障碍。在性反应周期的各个阶段,与其他男性的所有性行为,而不仅仅是插入式肛交,均受到影响。对于男同性恋者和双性恋男性的康复,不应狭隘地只关注勃起功能,而需要全面解决解剖结构变化、性行为以及性反应周期各阶段的功能问题。我们确定了七条针对从业者教育的建议。