Sexuality after treatment for early prostate cancer - Exploring the meanings of "erectile dysfunction"
Sexuality after treatment for early prostate cancer - Exploring the meanings of "erectile dysfunction"
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DOI：
10.1046/j.1525-1497.2001.00832.x
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发表时间：
2001-10-01
影响因子：
5.7
通讯作者：
Talcott, JA
中科院分区：
文献类型：
--
作者：
Bokhour, BG;Clark, JA;Talcott, JA
目的：探讨勃起功能障碍对接受早期非转移性前列腺癌明确治疗的男性的影响。七组患有早期前列腺癌的男性。这些小组是半结构化的，旨在探讨男性与前列腺癌及其治疗相关的经历和生活质量问题。周边环境：员工模范健康维护组织和退伍军人事务医疗中心。患者：48名在12至24个月前接受过早期前列腺癌治疗的男性。结果：男性确认了性功能障碍对他们生活质量的实质性影响。研究确定了与男性性行为相关的四个生活质量领域：1)性亲密的质量；2)与女性的日常互动；3)性想象和性幻想生活；4)男性对自己男子气概的看法。研究发现，勃起问题既会影响男性的亲密生活，也会影响他们的非亲密生活，包括他们如何看待自己的性行为。结论：勃起功能障碍是早期前列腺癌治疗中最常见的副作用，对男性的生活有着深远的影响。与性功能障碍相关的生活质量评估应该考虑到勃起功能障碍对男性生活的广泛影响。医生在建议男性选择治疗方案时应考虑到这些影响。照顾已接受治疗的患者的医生应解决这些心理社会问题。咨询男性勃起功能障碍时的问题。
OBJECTIVE: To explore perceptions of the impact of erectile dysfunction on men who had undergone definitive treatment for early nonmetastatic prostate cancer.DESIGN. Seven focus groups of men with early prostate cancer. The groups were semistructured to explore men's experiences and quality-of-life concerns associated with prostate cancer and its treatment.SETTING: A staff model health maintenance organization, and a Veterans Affairs medical center.PATIENTS: Forty-eight men who had been treated for early prostate cancer 12 to 24 months previously.RESULTS: Men confirmed the substantial effect of sexual dysfunction on the quality of their lives. Four domains of quality of life related to men's sexuality were identified: 1) the qualities of sexual intimacy; 2) everyday interactions with women; 3) sexual imagining and fantasy life; and 4) men's perceptions of their masculinity. Erectile problems were found to affect men in both their intimate and nonintimate lives, including how they saw themselves as sexual beings.CONCLUSIONS: Erectile dysfunction, the most common side effect of treatment for early prostate cancer, has far-reaching effects upon men's lives. Assessment of quality of life related to sexual dysfunction should address these broad Impacts of erectile function on men's lives. Physicians should consider these effects when advising men regarding treatment options. Physicians caring for patients who have undergone treatment should address these psychosocial. issues when counseling men with erectile dysfunction.