Department of Neurosurgery, Erasmus MC: University Medical Rotterdam, the Netherlands.
Department of Psychiatry, Zaans Medisch Centrum, Zaandam, The Netherlands.
J Clin Neurosci. 2021 Dec;94:292-297. doi: 10.1016/j.jocn.2021.10.040. Epub 2021 Nov 12.
As sexual health is an important aspect of general quality of life, discussing and treating sexual health issues should also be part of the oncological care given to patients. It is unknown to what extent neurosurgeons discuss sexual health issues with patients suffering from brain tumors.
A 25-question survey was sent to members of the Congress of Neurological Surgeons by email.
Of all neurosurgeons who replied, 59.1% never discussed sexual health with patients suffering from brain tumors. There was a trend of less discussing sexual health with older patients. Furthermore, discussing sexual health did not depend on the stage or type of brain tumor patients were suffering from. A majority of 57.7% of the neurosurgeons stated that patients themselves are responsible for discussing health and 41.6% think that neurosurgeons are responsible. The biggest barriers for avoiding discussing sexual health were that 'patients do not express sexual problems spontaneously', 'insufficient training/knowledge of the neurosurgeon' and 'insufficient time'. Furthermore, 59.1% stated they had insufficient/no knowledge about sexual health and 70% found it (slightly/very) important to screen for sexual health after meningioma surgery. About 63.1% wanted to extend their knowledge on sexual health.
Sexual health is an underexposed area in the neurosurgical care for patients suffering from brain tumors. There is a need for more awareness on recognizing and treating of sexual dysfunction after neurosurgery.
由于性健康是总体生活质量的一个重要方面，因此讨论和治疗性健康问题也应成为为肿瘤患者提供的肿瘤学护理的一部分。目前尚不清楚神经外科医生在多大程度上与患有脑肿瘤的患者讨论性健康问题。
通过电子邮件向神经外科学会的成员发送了一份包含 25 个问题的调查问卷。
所有回复的神经外科医生中，有 59.1%的人从未与患有脑肿瘤的患者讨论过性健康问题。与年龄较大的患者相比，他们更倾向于不讨论性健康问题。此外，讨论性健康问题与患者所患脑肿瘤的阶段或类型无关。大多数（57.7%）神经外科医生认为患者自己负责讨论健康问题，而 41.6%的神经外科医生认为神经外科医生负责讨论健康问题。避免讨论性健康问题的最大障碍是“患者不会自发表达性问题”、“神经外科医生的培训/知识不足”和“时间不足”。此外，有 59.1%的人表示他们对性健康知识了解不足/没有知识，70%的人认为在脑膜瘤手术后筛查性健康问题非常重要/有点重要。约 63.1%的人希望扩展他们的性健康知识。
性健康是神经外科治疗脑肿瘤患者的一个未充分涉及的领域。需要提高对神经外科手术后识别和治疗性功能障碍的认识。
