Waning sexual function--the most important disease-specific distress for patients with prostate cancer.

Waning sexual function--the most important disease-specific distress for patients with prostate cancer.
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DOI:
10.1038/bjc.1996.268
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发表时间:
1996-06
影响因子:
8.8
通讯作者:
Steineck, G
Steineck, G
中科院分区:
医学1区
文献类型:
--
作者:
Helgason, A;Adolfsson, J;Dickman, P;Fredrikson, M;Arver, S;Steineck, G

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目的是研究前列腺癌及其治疗如何影响性、泌尿和肠道功能,以及最终并发症在多大程度上导致痛苦。向1992年在斯德哥尔摩地区(瑞典)诊断为前列腺癌的431名年龄在50 - 80岁之间的男性和随机选择的435名具有相似年龄分布的男性发送问卷。与年轻时相比,大多数男性的性功能都有所下降。然而,前列腺癌患者更有可能报告性功能各个方面的频率和/或强度较低。大多数男性都因性能力下降而苦恼。由于性功能下降而严重痛苦的前列腺癌男性比例高于参考组。为了长期生存而牺牲完整的性功能的意愿在参考组的男性中差异很大。在两组中,泌尿和肠道症状都比性功能减退少见,很少有人出现泌尿或肠道症状严重困扰。性功能下降是前列腺癌患者疾病特异性痛苦的最常见原因。
The objective was to investigate how prostate cancer and its treatment affects sexual, urinary and bowel functions and to what extent eventual complications cause distress. A questionnaire was sent to 431 men aged 50-80 years with prostate cancer diagnosed in 1992 in the Stockholm area (Sweden) and 435 randomly selected men with a similar age distribution. Sexual function, as compared with their youth, was diminished in a majority of all men. The prostate cancer patients were, however, more likely to report low frequency and/or intensity in all aspects of sexual function. A majority of the men were distressed by a waning sexual capacity. The proportion of men with prostate cancer who were severely distressed owing to a decline in sexual function was larger than in the reference group. The willingness to trade off an intact sexual function for long-term survival varied considerably among the men in the reference group. Urinary and bowel symptoms were less common than a waning sexual function in both groups, and few appeared to be severely distressed by urinary or bowel symptoms. A decline in sexual functions was the most common cause of disease-specific distress in men with prostate cancer.
DOI: 10.1001/jama.273.2.129
发表时间: 1995-01-11
影响因子: 120.7
作者:
LITWIN, MS;HAYS, RD;BROOK, RH
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发表时间: 1995-01-01
期刊: BRITISH JOURNAL OF UROLOGY
影响因子: --
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