Sexual function of patients under surveillance for bladder cancer

Abstract

surveillance scheme (demographic characteristics, a validated visual analogue scale, and validated subset of questions on sexual function and performance derived from QLQ-BLS-24). The results were compared with those from an age-and gender-matched healthy population. RESULTSThe response rate was 95% (142/150); 61% (87/142) of the respondents were sexually active in the previous 4 weeks after diagnosis, 66% (70/105) of men and 46% (17/37) of women. Although libido was not negatively affected, 54% (47/87) of the patients had a sexual dysfunction, and 23% (17/73) were afraid to inflict harm on their partner by sexual contact. Sexually active patients perceived a higher state of general health ( P = 0.03). CONCLUSIONSThe prevalence of sexual dysfunction in patients with NMI UC is very high (54%) compared with an age-and gender-matched healthy population (20-45%). No predictors for sexual dysfunction were found. These patients and partners would benefit from proper sexual information in the outpatient clinic.

Cancer, Benign Gynecology, and Sexual Function—Issues and Answers

“…82 Recently, sexual function in NMIBC has been evaluated. 83,84 Sexual dysfunction is a prevalent problem after female radical cystectomy. The nature of the dysfunction involves multiple domains, including decreased orgasm, decreased lubrication, lack of sexual desire, and dyspareunia.…”

“…82 The treatment of NMIBC can result in sexual problems. 83,84,95 The prevalence of sexual dysfunction in patients with NMIBC is very high (54%) compared with an age-and gender-matched healthy population (20%e45%). 83 A recent study suggested that sexually active patients with NMIBC report concerns about contaminating their partners with treatment agents (23.3%).…”

“…83 A recent study suggested that sexually active patients with NMIBC report concerns about contaminating their partners with treatment agents (23.3%). 84 …”

Bladder Cancer: A Focus on Sexuality

“…The majority of research that has been conducted on the impact of sexual function in patients with bladder cancer has focused on the treatments of MIBC by radical cystectomy (Van der Aa et al, 2009). Although less research is available regarding sexual dysfunction in patients with NMIBC, nurses should address this issue and recognize potential sexual impairments that may be directly related to treatment and surveillance.…”

In-depth investigation of the molecular pathogenesis of bladder cancer in a unique 26-year old patient with extensive multifocal disease: a case report

“…After the first tumor resection all age groups of patients are monitored according to an intensive surveillance protocol that includes 3-monthly cystoscopies the first two years, followed by less frequent observations if a patient stays recurrence free. The main disadvantages of the current protocol are life-long invasive and costly cystoscopic monitoring of patients causing physical discomfort and sexual dysfunction [8]. …”