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The Prostate Cancer Rehabilitation Clinic: a biopsychosocial clinic for sexual dysfunction after radical prostatectomy.
- Source :
-
Current oncology (Toronto, Ont.) [Curr Oncol] 2018 Dec; Vol. 25 (6), pp. 393-402. Date of Electronic Publication: 2018 Dec 01. - Publication Year :
- 2018
-
Abstract
- Purpose: The most prevalent intervention for localized prostate cancer (pca) is radical prostatectomy (rp), which has a 10-year relative survival rate of more than 90%. The improved survival rate has led to a focus on reducing the burden of treatment-related morbidity and improving the patient and partner survivorship experience. Post-rp sexual dysfunction (sdf) has received significant attention, given its substantial effect on patient and partner health-related quality of life. Accordingly, there is a need for sdf treatment to be a fundamental component of pca survivorship programming.<br />Methods: Most research about the treatment of post-rp sdf involves biomedical interventions for erectile dysfunction (ed). Although findings support the effectiveness of pro-erectile agents and devices, most patients discontinue use of such aids within 1 year after their rp. Because side effects of pro-erectile treatment have proved to be inadequate in explaining the gap between efficacy and ongoing use, current research focuses on a biopsychosocial perspective of ed. Unfortunately, there is a dearth of literature describing the components of a biopsychosocial program designed for the post-rp population and their partners.<br />Results: In this paper, we detail the development of the Prostate Cancer Rehabilitation Clinic (pcrc), which emphasizes multidisciplinary intervention teams, active participation by the partner, and a broad-spectrum medical, psychological, and interpersonal approach.<br />Conclusions: The goal of the pcrc is to help patients and their partners achieve optimal sexual health and couple intimacy after rp, and to help design cost-effective and beneficial rehabilitation programs.<br />Competing Interests: CONFLICT OF INTEREST DISCLOSURES We have read and understood Current Oncology’s policy on disclosing conflicts of interest, and we declare that we have none.
- Subjects :
- Erectile Dysfunction etiology
Erectile Dysfunction psychology
Erectile Dysfunction rehabilitation
Female
Humans
Male
Prostatectomy methods
Prostatic Neoplasms psychology
Prostatic Neoplasms surgery
Quality of Life
Research
Sexual Dysfunction, Physiological psychology
Social Support
Prostatectomy adverse effects
Prostatic Neoplasms complications
Prostatic Neoplasms rehabilitation
Sexual Dysfunction, Physiological etiology
Sexual Dysfunction, Physiological rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1718-7729
- Volume :
- 25
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Current oncology (Toronto, Ont.)
- Publication Type :
- Academic Journal
- Accession number :
- 30607114
- Full Text :
- https://doi.org/10.3747/co.25.4111