Sexuality after treatment for early prostate cancer
Sexuality after treatment for early prostate cancer
复制标题
早期前列腺癌治疗后的性行为
DOI：
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发表时间：
2001
影响因子：
5.7
通讯作者：
J. Talcott
中科院分区：
文献类型：
--
作者：
B. Bokhour;Jack Clark;T. Inui;R. Silliman;J. Talcott
摘要目的：探讨勃起功能障碍对接受早期非转移性前列腺癌确定性治疗的男性的影响的看法。
设计：7个焦点组的男性早期前列腺癌。这些小组是半结构化的，以探索男性的经验和生活质量的关注与前列腺癌及其治疗。
单位：一个工作人员模式的健康维护组织，和退伍军人事务部医疗中心。
患者：48名男性，在12至24个月前接受过早期前列腺癌治疗。
结果：男性证实了性功能障碍对他们生活质量的实质性影响。四个领域的生活质量与男性的性行为被确定为：1）性亲密的质量; 2）日常与女性的互动; 3）性想象和幻想的生活;和4）男性对自己的男子气概的看法。研究发现，勃起问题会影响男性的亲密和非亲密生活，包括他们如何看待自己作为性存在。
结论：勃起功能障碍是早期前列腺癌治疗最常见的副作用，对男性的生活有深远的影响。性功能障碍相关的生活质量评估应该解决勃起功能对男性生活的广泛影响。医生在建议男性治疗方案时应考虑这些影响。照顾接受过治疗的患者的医生在咨询勃起功能障碍男性时应该解决这些心理问题。
AbstractOBJECTIVE: 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.
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影响因子：
2.5
作者：
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影响因子：
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DOI：
10.1200/jco.1998.16.1.275
发表时间：
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期刊：
Journal of clinical oncology : official journal of the American Society of Clinical Oncology
影响因子：
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作者：
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影响因子：
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作者：
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通讯作者：
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