Prostate cancer multimodal therapy involvement in couple life: Open, Robotic and HIFU approach.
Journal Title: Human & Veterinary Medicine - International Journal of the Bioflux Society - Year 2010, Vol 2, Issue 2
Abstract
The diagnosis and treatment of prostate cancer often results in significant physical side-effects and associated psycho-social stressors that can interfere with the experience of sexual intimacy for couples. Our study aims to evaluate couple’s sexual life and to determine any potential sexual dynamic dysfunctions which could occur before and after performing classic, robotic and HIFU radical prostatectomy as a radical therapy in prostate cancer. The present article aims at the synoptic presentation of results of a statistic research done by the author regarding the factors that influence couple’s sex life, and also at the identification of potential dynamic disorder that could come up before a radical prostatectomy (disorders that influence the sexual prognostic following the intervention). Material and method: the research involved 28 couples (56 individuals) and was conducted in The Municipal Clinic and in The Endoplus Clinic in Cluj-Napoca. The initial evaluation aimed to identify sexual dynamic dysfunctions before the intervention. The couples filled in an interview sheet before the intervention and were informed about the immediate and long term effects of the intervention and of existing therapeutic solutions. The confidentiality of interview answers has been insured and the interviews have been collected and sealed the day of the intervention. The structure of the interview is based on the BASIC ID grid proposed by Lazarus in 1973 which aims to establish a therapeutic action profile which would allow a multimodal intervention. All patients underwent the prostate cancer intervention as follows: 10 patients underwent open surgery, 9 patients robotic surgery and 9 patients HIFU therapy. Results: Each partner of the couple was reevaluated two months after the radical therapy. The main goal of evaluating the sexual behavior was to obtain valid information in order to make the optimal therapeutic decision. The partner’s answer frequency for both pre and postoperator of each item of the questionnaire was calculated. The frequencies were then comparatively analyzed according to our study’s goals. Our research team’s contribution is the individualization of the grid on the respective pathology.
Authors and Affiliations
Elisabeta Hirişcău, Doina Cosman, Ioan Coman
Keywords
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