Life Experiences of Brazilian Men With Urinary Incontinence and Erectile Dysfunction Following Radical Prostatectomy

Lopes, Maria Helena Baena de Moraes; Higa, Rosângela; Cordeiro, Silvia Nogueira; Estapê, Nuri Aparecida Rodrigues; D’Ancona, Carlos Arturo Levi; Turato, Egberto Ribeiro

doi:10.1097/won.0b013e3182383eeb

Cited by 22 publications

(35 citation statements)

References 8 publications

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“…This was also broadly typical of men in the main metasynthesis, but Latin Americans also focused on their role as family provider for validation of their masculinity; if this role was maintained and they had children, the ED was less problematic . A similar focus was only reported in 1 paper from Brazil and 1 from Israel in the main metasynthesis. African Americans rooted manhood irrevocably in sexual prowess, unlike men in the main metasynthesis.…”

Section: Resultsmentioning

confidence: 88%

“…Thus, it was reported: “cancer is particularly stigmatised and the fear of social rejection is particularly high in African‐Americans compared with white Americans” (see also literature , ). A silencing stigma was also described in 7 studies in the main metasynthesis, but in 3, at least 10% of participants were black, (excluded from the synthesis as they did not report data by ethnicity, see Supplementary information) and the others were set in Brazil, Turkey, and Israel …”

Section: Resultsmentioning

confidence: 99%

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Ethnicity and the prostate cancer experience: a qualitative metasynthesis

et al. 2016

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ObjectivesTo summarize black and minority ethnic (BME) patients' and partners experiences of prostate cancer by examining the findings of existing qualitative studies.MethodsWe undertook a systematic metasynthesis of qualitative studies using a modified version of Noblit and Hare's “meta‐ethnography” approach, with a 2000‐2015 search of 7 databases.ResultsThirteen studies of men from US and UK BME groups were included. We explored constructs with BME‐specific features. Health care provider relationships, formation of a spiritual alliance with God (which enhanced the participants' feeling of empowerment and ability to cope with the cancer), and living on for others (generally to increase cancer awareness), often connected to spiritual regrowth, were the 3 constructs most commonly reported. A magnified effect from erectile dysfunction was also common. Initially, this affected men's disclosure to others about their cancer and their sexual problems, but eventually men responded by shifting their conceptualizations of masculinity to sustain self and social identities. There was also evidence of inequality resulting from financial constraints and adversity that necessitated resilience in coping.ConclusionsThe prostate cancer experience of BME men and their partners is affected by a complex intersection of ethnicity with other factors. Health care services should acknowledge this. If providers recognize the men's felt masculinities, social identities, and spiritual beliefs and their shifting nature, services could be improved, with community as well as individual benefits. More studies are needed in diverse ethnic groups.

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Section: Resultsmentioning

confidence: 88%

Section: Resultsmentioning

confidence: 99%

Ethnicity and the prostate cancer experience: a qualitative metasynthesis

et al. 2016

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“…It is important to have a gender perspective when providing person-centered incontinence care. DeMoraes et al [18] stated that men with UI often experienced impotence, poor mental health, decreased self-esteem and that these symptoms have implications for their manhood. For this reason, in their care decisions, staff should deal with the issue and point out that UI is a com-mon condition in men and that help is available.…”

Section: Discussionmentioning

confidence: 99%

Nursing Staff’s Experiences of Providing Toilet Assistance to Elderly Nursing Home Residents with Urinary Incontinence

Hägglund¹,

Momats²,

Mooney³

2017

OJN

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Introduction: Urinary incontinence is a common condition among elderly. It affects their daily life and quality of life. Toilet assistance may decrease urinary incontinence episodes among elderly. Many nursing home residents do not receive the available evidence-based toilet assistance they need. Aim: The aim of the present study was to describe nursing staff members' experiences of providing toilet assistance to elderly nursing home residents with urinary incontinence. Design: A descriptive design with a qualitative content analysis method was used. Method: Four nurses and seven auxiliary nurses were interviewed in three homogenous focus groups. Data were collected during spring 2015. Results: The most essential opportunity factor for good toilet assistance was the nursing staff's attitude and behavior regarding the elderly's need to visit the lavatory. This resulted in individual toilet assistance in which the elderly's integrity and needs were cared for. Functioning routines and sufficient staff availability were crucial in determining whether the elderly could visit the lavatory. Other enabling factors for good toilet assistance were information and education of staff. The main obstructing factors for good toilet assistance were the elderly's decreased cognitive ability, negative attitudes toward receiving toilet assistance and lack of communication and co-operation between professionals with regard to prescribing and fastening individual incontinence aids. Conclusion: Providing toilet assistance is a considerable nursing intervention for elderly to help them regain continence or contain incontinence, whenever possible. Person-centered incontinence care is important for developing and adjusting toilet assistance based on each older person's individual needs.

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“…As noted by one author, 'many emotive changes and challenges accompanied the loss of potency' resulting in a radically disordered intimate life [Author quote, [Oliffe, , p.2254. Men reported significant losses in the psychosexual realms of eroticism, fantasy life, sexual desire and libido Rivers et al, 2011], which significantly affected their motivation for intimate relations: [Rivers et al, 2011, p.109] Men's manifold loss led many to view their post-treatment sexual self as a 'failure' de Moraes Lopes et al, 2012]. They felt diminished as a man and as a lover because of treatment: [Hedestig et al, 2005, p.681] Loss was often equated with anxiety, sadness, frustration and difficulties relating to their partner:…”

Section: Loss and Grief: Destroyed Intimacymentioning

confidence: 99%