Sexual, psychological and dyadic qualities of the prostate cancer ‘couple’

Soloway, Cynthia T.; Soloway, Mark S.; Kim, Sandy S.; Kava, Bruce R.

doi:10.1111/j.1464-410x.2005.05400.x

Cited by 128 publications

(103 citation statements)

References 27 publications

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“…64 In general, partners of PCa sufferers describe even more distress than the patients. 65 It has been observed that partners often want to talk about the ADT-associated changes, while the patient wants to minimize the issues.…”

Section: Relationship Changesmentioning

confidence: 99%

Quality of life issues in men undergoing androgen deprivation therapy: a review

Casey¹,

Corcoran²,

Goldenberg³

2012

Asian J Androl

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Androgen deprivation therapy (ADT) has been an essential treatment option for treating prostate cancer (PCa). The role for hormonal treatment initially was restricted to men with metastatic and inoperable, locally advanced disease. Now it has been extended to neoadjuvant or adjuvant therapy for surgery and radiotherapy, for biochemical relapse after surgery or radiation, and even as primary therapy for non-metastatic disease. Fifty percent of PCa patients treated will receive ADT at some point. There is growing concern about the adverse effects and costs associated with more widespread ADT use. The adverse effects on quality of life (QoL), including physical, social and psychological well-being when men are androgen-deprived, may be considerable. This review examines the QoL issues in the following areas: body feminisation, sexual changes, relationship changes, cognitive and affective symptoms, fatigue, sleep disturbance, depression and physical effects. Further suggestions for therapeutic approaches to reduce these alterations are suggested.

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Section: Relationship Changesmentioning

confidence: 99%

Quality of life issues in men undergoing androgen deprivation therapy: a review

Casey¹,

Corcoran²,

Goldenberg³

2012

Asian J Androl

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“…Research suggests that not only is the patient affected by these events but also the partner (4,5). When men are in a stable relationship, the couple's perspective becomes an important issue and necessitates a refocusing of outcomes directed to the prostate cancer "couple" (5). Although sexual dysfunction has been shown to be related to psychological impairment in males (2), this aspect has not been yet addressed from a couple perspective.…”

Section: Introductionmentioning

confidence: 98%

“…Prostate cancer surgery will result in variable degrees of impaired urinary control and sexual dysfunction. Research suggests that not only is the patient affected by these events but also the partner (4,5). When men are in a stable relationship, the couple's perspective becomes an important issue and necessitates a refocusing of outcomes directed to the prostate cancer "couple" (5).…”

Section: Introductionmentioning

confidence: 99%

Altered male physiologic function after surgery for prostate cancer: couple perspective

et al. 2009

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Purpose: Both the diagnosis of prostate cancer (PCa) and the physiologic outcomes of surgical treatment impact the male's psychological sphere. However, current research advocates a refocusing of outcomes directed to the PCa "couple". Herein we acquire insight into perspective and concordance regarding male physiological function from the standpoint of a couple recovering from PCa surgery. Materials and Methods: Couples whereby the male partner had undergone primary surgical treatment for PCa were mailed a Retrospective Sexual Survey (RSS) packet consisting of male and female partner questionnaires. RSS questions surveyed physiological changes in libido, foreplay, erection and arousal, orgasm and ejaculation in addition to perceived psychological impact. Patients' and partners' scores were evaluated to determine the concordance of both individual items as well as domain sums. Results: Twenty-eight couples completed the questionnaires. Only about 40% of men and women were happy with their levels of sexual interest with 82% concordance. Urine loss during orgasm was reported by 43% of men; the majority of participants were bothered by it. Ejaculation changes were observed by 96% of men (concordance 96%) with most reporting anejaculation. A change in orgasm experience was noted by 86% of men (and 36% of their female partners, p < 0.0001). Despite the change, the majority of men and women reported being satisfied with their ability to climax. Conclusion: Our results indicate that patients and their female partners may interpret differently the same physiological outcomes of PCa surgery. This information could be useful to better counsel the PCa couple and help patients and partners adjust after surgery.

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“…[6][7][8][9] Studies have found that psychological distress is equivalent regardless of the fact whether the person is the patient or partner. 10 Clearly, once cancer is discovered in either partner, both experience an increased level of anxiety compared with healthy couples.…”

Section: Introductionmentioning

confidence: 99%

Concordance in the perception of couples recovering from primary surgical treatment of prostate cancer

et al. 2009

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Although prostate cancer affects men, research shows effects on both members of the couple. We analyzed concordance in couples recovering from primary surgical treatment of prostate cancer when surveyed on psychological domains including emotional status, relationship, selfimage, partnership quality and support. Retrospective Sexual Surveys were utilized to survey physiological changes as well as psychological effects. In total, 28 heterosexual couples (56 people) were enrolled. Patients were treated between February 2002 and March 2007 with a median followup of 26 (range: 4-59) months. When polled on psychological aspects that may have been affected by treatment, overall concordance was 75.0%. Partnership had the highest concordance (92.2%) with treatment satisfaction questions following in second (90.7%). Subcategories focused on self-image (77.5%), relationship (67.3%), support (66.4%) and emotional status (55.6%), were less concordant. Although couples report relationships as strong and team-like, misconception between partners is widespread. Further research with regards to the effect of such disparities in couples might provide additional insight into improving recovery.

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Sexual, psychological and dyadic qualities of the prostate cancer ‘couple’

Cited by 128 publications

References 27 publications

Quality of life issues in men undergoing androgen deprivation therapy: a review

Quality of life issues in men undergoing androgen deprivation therapy: a review

Altered male physiologic function after surgery for prostate cancer: couple perspective

Concordance in the perception of couples recovering from primary surgical treatment of prostate cancer

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