A Pilot Study Assessing Aspects of Sexual Function Predicted to Be Important After Treatment for Prostate Cancer in Gay Men: An Underserved Domain Highlighted
A Pilot Study Assessing Aspects of Sexual Function Predicted to Be Important After Treatment for Prostate Cancer in Gay Men: An Underserved Domain Highlighted
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DOI：
10.1089/lgbt.2018.0245
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发表时间：
2020-06-23
期刊：
影响因子：
4.8
通讯作者：
Kundu, Shilajit
中科院分区：
文献类型：
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作者：
Amarasekera, Channa;Wong, Vincent;Kundu, Shilajit
目的：评估前列腺癌（PCa）后性功能的现有问卷主要是在异性恋男性队列中开发的，可能无法完全测量男同性恋男性的功能。我们试图确定是否有与男同性恋者相关的性功能领域没有被扩展前列腺癌综合指数（EPIC）性功能评估所捕获。方法：53名男性同性恋者与前列腺癌回应了一项在线调查的性功能域的适用性，在验证EPIC问卷。然后，他们被问及前列腺是否是性快感的来源，以及测量性满意度的重要性，因为它与接受性肛交有关。结果：大多数PCa男同性恋者发现EPIC性功能工具在测量勃起功能时适用（76.5%）。在被调查的男性中，64.2%的人认为前列腺是性快感的来源，52.8%的人认为测量与接受性肛交相关的性满意度很重要。与那些没有进行接受性肛交的人相比，更大比例的接受性肛交的男同性恋者认为前列腺是性快感的来源（100% vs. 57.1%），并认为测量性满意度很重要，因为它与PCa治疗后的接受性肛交有关（90.0% vs. 45.2%）。结论：我们的研究结果强调，需要创建一个有效的问卷来衡量接受性肛交的性满意度，以帮助护理PCa治疗后接受性肛交的男性。
Purpose:Existing questionnaires assessing sexual function after prostate cancer (PCa) were developed in predominantly heterosexual male cohorts and may measure function incompletely in gay men. We sought to determine if there are sexual function domains relevant to gay men that are not captured by the Expanded Prostate Cancer Index Composite (EPIC) sexual function assessment. Methods:Fifty-three gay men with PCa responded to an online survey regarding the applicability of the sexual function domain in the validated EPIC questionnaire. They were then queried about whether the prostate is a source of sexual pleasure and the importance of measuring sexual satisfaction as it relates to receptive anal intercourse. Results:A majority of gay men with PCa found the EPIC sexual function tool to be applicable when measuring erectile function (76.5%). Of the men queried, 64.2% felt that the prostate is a source of sexual pleasure and 52.8% felt it important to measure sexual satisfaction associated with receptive anal intercourse. A larger proportion of gay men who engaged in receptive anal intercourse, compared with those who did not engage in receptive anal intercourse, felt that the prostate is a source of sexual pleasure (100% vs. 57.1%), and thought it important to measure sexual satisfaction as it relates to receptive anal intercourse after PCa treatment (90.0% vs. 45.2%). Conclusions:Our findings highlight the need to create a validated questionnaire to measure sexual satisfaction from receptive anal intercourse to help care for men engaging in receptive anal intercourse after PCa treatment.