Suitable sexual health care according to men with prostate cancer and their partners

Lorena A. Grondhuis Palacios, Esmée M. Krouwel, B.L. Den Oudsten, Marjolein E. M. Den Ouden, Gert Jan Kloens, G. van Duijn, Hein Putter, Rob C. M. Pelger, Henk W. Elzevier

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Abstract

Purpose.
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.

Methods.
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.

Results.
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).

Conclusions.
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.
Original languageEnglish
Pages (from-to)4169–4176
JournalSupportive Care in Cancer
Volume26
Issue number12
DOIs
Publication statusPublished - 2018

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Reproductive Health
Delivery of Health Care
Intensity-Modulated Radiotherapy
Health Personnel
Cross-Sectional Studies

Keywords

  • COMMUNICATION
  • COUPLES
  • ERECTILE DYSFUNCTION
  • Erectile dysfunction
  • PENILE REHABILITATION
  • Partners
  • Prostate cancer
  • QUALITY-OF-LIFE
  • RADICAL PROSTATECTOMY
  • RADIOTHERAPY
  • RECOVERY
  • SURVIVORSHIP
  • Sexual counseling
  • Sexual dysfunction
  • Sexual health care

Cite this

Grondhuis Palacios, L. A., Krouwel, E. M., Den Oudsten, B. L., Den Ouden, M. E. M., Kloens, G. J., van Duijn, G., ... Elzevier, H. W. (2018). Suitable sexual health care according to men with prostate cancer and their partners. Supportive Care in Cancer, 26(12), 4169–4176. https://doi.org/10.1007/s00520-018-4290-2
Grondhuis Palacios, Lorena A. ; Krouwel, Esmée M. ; Den Oudsten, B.L. ; Den Ouden, Marjolein E. M. ; Kloens, Gert Jan ; van Duijn, G. ; Putter, Hein ; Pelger, Rob C. M. ; Elzevier, Henk W. / Suitable sexual health care according to men with prostate cancer and their partners. In: Supportive Care in Cancer. 2018 ; Vol. 26, No. 12. pp. 4169–4176.
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title = "Suitable sexual health care according to men with prostate cancer and their partners",
abstract = "Purpose.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.Methods.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.Results.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).Conclusions.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.",
keywords = "COMMUNICATION, COUPLES, ERECTILE DYSFUNCTION, Erectile dysfunction, PENILE REHABILITATION, Partners, Prostate cancer, QUALITY-OF-LIFE, RADICAL PROSTATECTOMY, RADIOTHERAPY, RECOVERY, SURVIVORSHIP, Sexual counseling, Sexual dysfunction, Sexual health care",
author = "{Grondhuis Palacios}, {Lorena A.} and Krouwel, {Esm{\'e}e M.} and {Den Oudsten}, B.L. and {Den Ouden}, {Marjolein E. M.} and Kloens, {Gert Jan} and {van Duijn}, G. and Hein Putter and Pelger, {Rob C. M.} and Elzevier, {Henk W.}",
year = "2018",
doi = "10.1007/s00520-018-4290-2",
language = "English",
volume = "26",
pages = "4169–4176",
journal = "Supportive Care in Cancer",
issn = "0941-4355",
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Grondhuis Palacios, LA, Krouwel, EM, Den Oudsten, BL, Den Ouden, MEM, Kloens, GJ, van Duijn, G, Putter, H, Pelger, RCM & Elzevier, HW 2018, 'Suitable sexual health care according to men with prostate cancer and their partners', Supportive Care in Cancer, vol. 26, no. 12, pp. 4169–4176. https://doi.org/10.1007/s00520-018-4290-2

Suitable sexual health care according to men with prostate cancer and their partners. / Grondhuis Palacios, Lorena A.; Krouwel, Esmée M.; Den Oudsten, B.L.; Den Ouden, Marjolein E. M.; Kloens, Gert Jan; van Duijn, G.; Putter, Hein; Pelger, Rob C. M.; Elzevier, Henk W.

In: Supportive Care in Cancer, Vol. 26, No. 12, 2018, p. 4169–4176.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Suitable sexual health care according to men with prostate cancer and their partners

AU - Grondhuis Palacios, Lorena A.

AU - Krouwel, Esmée M.

AU - Den Oudsten, B.L.

AU - Den Ouden, Marjolein E. M.

AU - Kloens, Gert Jan

AU - van Duijn, G.

AU - Putter, Hein

AU - Pelger, Rob C. M.

AU - Elzevier, Henk W.

PY - 2018

Y1 - 2018

N2 - Purpose.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.Methods.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.Results.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).Conclusions.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.

AB - Purpose.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.Methods.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.Results.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).Conclusions.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.

KW - COMMUNICATION

KW - COUPLES

KW - ERECTILE DYSFUNCTION

KW - Erectile dysfunction

KW - PENILE REHABILITATION

KW - Partners

KW - Prostate cancer

KW - QUALITY-OF-LIFE

KW - RADICAL PROSTATECTOMY

KW - RADIOTHERAPY

KW - RECOVERY

KW - SURVIVORSHIP

KW - Sexual counseling

KW - Sexual dysfunction

KW - Sexual health care

U2 - 10.1007/s00520-018-4290-2

DO - 10.1007/s00520-018-4290-2

M3 - Article

VL - 26

SP - 4169

EP - 4176

JO - Supportive Care in Cancer

JF - Supportive Care in Cancer

SN - 0941-4355

IS - 12

ER -