Exploring patient narratives of intimacy and sexuality among men with prostate cancer

Maharaj, Nandini; Kazanjian, Arminée

doi:10.1080/09515070.2019.1695582

Cited by 10 publications

(15 citation statements)

References 57 publications

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“…Klaeson, Sandell, and Berterö (2012) described the essential meaning of the impact of prostate cancer on sexuality as 'losing the elixir of life ' (p. 1190), which consists in part of threats to manhood. Related to this, erectile problems are a main cause of significant emotional distress in prostate cancer patients (Maharaj & Kazanjian, 2019).…”

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confidence: 99%

Redefining masculinity – Men’s repair work in the aftermath of prostate cancer treatment

Brüggemann

2020

Health Sociology Review

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Treatments for prostate cancer have many potential side effects such as a loss of erection, weaker orgasms, and incontinence. These are all bodily changes that may challenge dominant masculine ideals. In this article, I use Persson's repair work to describe how men tackle these side effects, and I describe the trouble their repair work elicits in terms of masculinity. I analyse interviews with eleven Swedish men, all treated for prostate cancer, and show that such work is done in three ways. Bodily repair work elicits the work men do to restore bodily functions, often through medical technologies. Relational repair work describes how relations with (potential) others shape men's bodily and sexual concerns, and the ways relations redefine such concerns. Age marking as repair emphasises how age is used in the redefinitions of norms about masculinities and aging bodies, both in relation to oneself and others. The analysis highlights how men's repair work is multifaceted, and is performed against the backdrop of dominant discourses on masculinity, medicine and old age. The analysis of such repair work is valuable to research on how masculinity is constructed in the light of treatment side effects and older age.

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confidence: 99%

Redefining masculinity – Men’s repair work in the aftermath of prostate cancer treatment

Brüggemann

2020

Health Sociology Review

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“…These results corroborate existing evidence. Previous studies have found that men with PCa express fear when facing diagnosis, PSA test results and with worsening sexual and urinary function [41][42][43]. Long-term side effects of treatment include incontinence, erectile dysfunction, urinary symptoms (e.g., frequency, dysuria), bowel irritation, libido decline, weight gain, hot flashes and fatigue [44][45][46].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial and Functional Predictors of Mental Disorder among Prostate Cancer Survivors: Informing Survivorship Care Programs with Evidence-Based Knowledge

et al. 2021

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Recent research has revealed that prostate cancer (PCa) survivors are facing a silent epidemic of mental disorder. These findings are not surprising when the side effects of highly effective current treatment modalities are considered. Here, we assess the association between urinary function and quality of life indicators to mental disorder among survivors of PCa. This is a cross sectional examination of an analytical sample of 362 men with a history of PCa residing in the Maritimes who took a survey assessing social, physical and health-related quality of life indicators between 2017 and 2021. Mental disorder was assessed using Kessler’s Psychological Distress Scale (K-10). Predictor variables included emotional, functional, social/family and spiritual well-being, measured by Functional Assessment of Cancer Therapy-Prostate (FACT-P), and urinary function was measured by International Prostate Symptom Score (IPSS). Multivariate logistic regression analysis evaluated the contribution of predictors while controlling for age, income, survivorship time (months) since diagnosis, relationship status and treatment modality. Mental disorder was identified among 15.8% of PCa survivors in this sample. High emotional (aOR = 0.81, 95% CI: 0.69–0.96) and spiritual well-being (aOR = 0.88, 95% CI: 0.81–0.96) were protective factors against mental disorder. Men who screened positive for moderate to severe urinary tract symptoms had three times higher odds (aOR = 3.02, 95% CI: 1.10, 8.32) of screening positive for mental disorder. Men who were on active surveillance or radical prostatectomy with or without added treatment had higher (aOR = 5.87, 95% CI: 1.32–26.13 or aOR = 4.21, 95% CI: 1.07–16.51, respectively) odds of screening positive for mental disorder compared to men who received radiation treatment with or without hormonal therapy for their PCa diagnosis. Unmet emotional and spiritual needs, increased urinary problems and some forms of treatment (e.g., active surveillance or surgery) were associated with mental disorder among PCa survivors. The development of survivorship care programs and support systems that focus on the long-term effects of PCa treatments and the consequences of unmet psychosocial needs of patients during the survivorship journey are critically needed.

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“…Both treatments can result in sexual sequelae, typically erectile dysfunction, which is a persistent survivorship issue up to 15 years post-diagnosis [2,3]. Sexual problems can also lead to challenges in intimate relationships [4,5]. Sexual and intimacy issues have been identi ed as the most frequently reported unmet needs in uencing quality of life in men with PC [6].…”

Section: Introductionmentioning

confidence: 99%

Men’s Experiences of Sex and Intimacy After Prostate Cancer Treatment In China: A Qualitative Study

Wang

Cheng

Wong

et al. 2021

Preprint

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Purpose While the existing knowledge base on the impact of prostate cancer (PC) and its treatment on sexuality and intimacy has been generated from Western populations, there is a lack of such evidence in the Asian context. This study aimed to explore men’s experiences of sex and intimacy after PC treatment in China. Methods This study adopted an interpretive descriptive design. Using purposive sampling, 13 PC patients were selected from a urology outpatient unit of a hospital in South China and proceeded with individual semi-structured telephone interviews. Each interview was transcribed verbatim and analyzed using constant comparison analysis. Results Four themes emerged from the interview data, including (a) encountering altered sexuality, (b) communication and sexual adjustments, (c) maintenance of quality intimate relationship, and (d) lack of sexual health support. Conclusions The findings revealed that PC treatment significantly impaired patients’ sexual functions, and their sexual health needs were mainly unmet by healthcare providers. There is a great need to design culturally relevant interventions to improve sexual health among this population.

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Exploring patient narratives of intimacy and sexuality among men with prostate cancer

Cited by 10 publications

References 57 publications

Redefining masculinity – Men’s repair work in the aftermath of prostate cancer treatment

Redefining masculinity – Men’s repair work in the aftermath of prostate cancer treatment

Psychosocial and Functional Predictors of Mental Disorder among Prostate Cancer Survivors: Informing Survivorship Care Programs with Evidence-Based Knowledge

Men’s Experiences of Sex and Intimacy After Prostate Cancer Treatment In China: A Qualitative Study

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