Our Summary

The research paper studies the impact of patient education on sexual function after prostate surgery. It shows that men who undergo this procedure often have unrealistic expectations about their sexual performance post-surgery, indicating a need for better education about recovery and symptom management.

The researchers looked at various studies and found that the type of education and support given to patients varies greatly. Some methods, such as group education or peer support, showed benefits in terms of sexual satisfaction. Involving partners in these interventions didn’t necessarily improve outcomes.

Interventions taking place within six weeks of surgery could help with sexual recovery, but if the education was provided much later, the improvements were often only temporary. However, some men who received education years after their treatment did show lasting improvements in sexual satisfaction and function.

Online educational interventions had lower completion rates, but the outcomes were similar to face-to-face sessions.

Overall, the researchers found that educational interventions had mixed results. They suggest that more emphasis should be put on counselling about changes in erectile function before and after surgery. They also suggest that earlier interventions might help set more realistic expectations for patients. Lastly, they recommend the use of online educational content for better accessibility.

FAQs

  1. What impact does patient education have on sexual function after prostate surgery?
  2. How does the timing of education interventions affect sexual recovery after prostate surgery?
  3. What are the benefits and drawbacks of online educational interventions versus face-to-face sessions for patients undergoing prostate surgery?

Doctor’s Tip

A helpful tip a doctor might tell a patient about prostatectomy is to attend educational sessions or counseling before and after surgery to better understand and manage changes in sexual function. Setting realistic expectations and receiving support from healthcare professionals can improve sexual satisfaction and function post-surgery. Online educational resources can also be a helpful tool for ongoing education and support.

Suitable For

Patients who are typically recommended prostatectomy are those with localized prostate cancer that has not spread beyond the prostate gland. Prostatectomy may also be recommended for patients with benign prostatic hyperplasia (enlarged prostate) that is causing severe symptoms such as urinary retention or recurrent urinary tract infections.

Additionally, prostatectomy may be recommended for patients with prostate cancer that has a high risk of progression or recurrence, based on factors such as Gleason score, PSA levels, and tumor stage. Patients who are in good overall health and have a life expectancy of at least 10 years are also good candidates for prostatectomy.

It is important for patients considering prostatectomy to discuss the potential risks and benefits of the procedure with their healthcare provider, as well as the potential impact on sexual function and quality of life. Education and support before and after surgery can help patients better understand what to expect and how to manage any changes in sexual function that may occur.

Timeline

Before prostatectomy:

  • Patient is diagnosed with prostate cancer
  • Patient discusses treatment options with healthcare provider, including prostatectomy
  • Patient undergoes pre-operative testing and preparation
  • Patient receives education about the procedure, potential side effects, and recovery process

After prostatectomy:

  • Patient undergoes surgery to remove the prostate
  • Patient may experience side effects such as urinary incontinence and erectile dysfunction
  • Patient receives education about managing side effects and recovery process
  • Patient may participate in educational interventions to improve sexual function post-surgery
  • Patient continues to follow-up with healthcare provider for monitoring and support

Overall, the timeline for a patient before and after prostatectomy involves diagnosis, decision-making, surgery, recovery, and ongoing education and support for managing side effects and improving quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about prostatectomy include:

  1. What are the potential side effects and complications of a prostatectomy, particularly in relation to sexual function?
  2. What can I expect in terms of sexual performance and satisfaction after the surgery?
  3. Will I need any additional support or education to help with sexual recovery post-surgery?
  4. Are there any specific interventions or resources available to help me better understand and manage changes in sexual function?
  5. How soon after surgery should I begin receiving education or support for sexual recovery?
  6. Can my partner be involved in any educational interventions to support my sexual recovery?
  7. Are there any online resources or programs available to help with sexual recovery after prostate surgery?
  8. Will I need ongoing counselling or support for changes in erectile function post-surgery?
  9. What are the long-term expectations for sexual function after a prostatectomy?
  10. How can I best prepare myself mentally and emotionally for potential changes in sexual function after the surgery?

Reference

Authors: Faris AER, Montague DK, Gill BC. Journal: Sex Med Rev. 2019 Apr;7(2):293-305. doi: 10.1016/j.sxmr.2018.05.003. Epub 2018 Jul 26. PMID: 30057140