Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/3546
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Discussing the sexual consequences of treatment in radiotherapy and urology consultations with couples affected by prostate cancer
Authors: Forbat, Liz
White, Isabella
Marshall-Lucette, Sylvie
Kelly, Daniel
Contact Email: elizabeth.forbat@stir.ac.uk
Keywords: sexual dysfunction
cancer
treatment effects
survivorship
Issue Date: Jan-2012
Publisher: Wiley-Blackwell
Citation: Forbat L, White I, Marshall-Lucette S & Kelly D (2012) Discussing the sexual consequences of treatment in radiotherapy and urology consultations with couples affected by prostate cancer, BJU International, 109 (1), pp. 98-103.
Abstract: What’s known on the subject? and What does the study add? Men with prostate cancer are likely to experience a range of treatment-related side-effects including deterioration in sexual functioning as a consequence of surgery, radiotherapy and hormone treatment. Despite the clear links between treatments and changes in sexual functioning, sexual concerns are infrequently discussed in clinic settings. Data indicate the need to use clinical consultations appropriately to support both patient and partner in sexual recovery and rehabilitation, going beyond discussions of assistive technologies to offer psychosexual couple support. OBJECTIVE • To explore the ways in which prostate cancer treatment-induced sexual changes are presented as viable topics for discussion in urology and radiotherapy clinics. PATIENTS AND METHODS • Ethnographic observations were made of 60 consultations between clinicians, patients and partners in clinical oncology and prostate cancer urology clinics. RESULTS • Sexual functioning was discussed infrequently in both clinic settings. • Despite the presence of partners in nearly half of consultations, involvement of the partner tended to be minimal. • Overall, discussions of wider psychosexual concerns were marginalised in consultations, and there were limited opportunities for couples to discuss the specific impact of prostate cancer and its treatments on sexual functioning. CONCLUSION • Given the potential burden of symptoms and side-effects, there is a need to include discussions of sexual recovery and rehabilitation in consultations, and to provide opportunities to discuss the sexual consequences of treatment with men and their partners
Type: Journal Article
URI: http://hdl.handle.net/1893/3546
DOI Link: http://dx.doi.org/10.1111/j.1464-410X.2011.10257.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author; you can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Cancer Care Research Centre
King's College London
Kingston University
Middlesex University

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