Our Summary

This research paper has examined how the diagnosis and treatment of prostate cancer can affect the sexual satisfaction of both the patient and their partner. The study involved reviewing data available from January 2000 to May 2017, focusing on how sexual dysfunction related to prostate cancer treatment can impact both parties involved. The results showed that there is a lack of data on this subject. However, the available data suggests that the mental and physical health of both patients and their partners, as well as the quality of their communication, play significant roles in their sexual satisfaction after prostate cancer treatment. It also found that patients who felt supported by their partner reported better erectile function and relationship satisfaction. The study concluded that more research is needed in this area to develop ways to improve the sex lives and overall quality of life for prostate cancer survivors and their partners.

FAQs

  1. What was the focus of this research study on prostate cancer treatment?
  2. What factors were found to play a significant role in the sexual satisfaction of prostate cancer patients and their partners after treatment?
  3. What were the conclusions of the study and what further research was suggested?

Doctor’s Tip

One helpful tip a doctor might tell a patient about prostatectomy is to discuss potential sexual side effects and options for managing them before the surgery. This can help the patient and their partner prepare for any changes that may occur and seek appropriate support or treatment as needed. Additionally, maintaining open communication with the healthcare team and discussing any concerns or questions can help ensure a successful recovery and overall satisfaction with the outcome of the procedure.

Suitable For

Prostatectomy, or the surgical removal of the prostate gland, is typically recommended for patients with localized prostate cancer that has not spread beyond the prostate gland. This procedure may also be recommended for patients with advanced prostate cancer that has not responded to other treatments, or for patients with significant urinary symptoms related to an enlarged prostate.

Patients who are otherwise in good health and have a life expectancy of at least 10 years are often considered good candidates for prostatectomy. Additionally, patients who have a high risk of aggressive prostate cancer or who have a family history of the disease may also be recommended for this surgery.

It is important for patients to discuss the potential risks and benefits of prostatectomy with their healthcare provider to determine if this treatment option is the best course of action for their individual situation. It is also important for patients to consider the potential impact of prostatectomy on sexual function and quality of life, as these factors can vary depending on the individual and the specific type of prostatectomy performed.

Timeline

Before prostatectomy:

  1. Patient notices symptoms such as difficulty urinating, blood in urine, or erectile dysfunction.
  2. Patient sees a doctor and undergoes diagnostic tests, including a digital rectal exam and PSA blood test.
  3. Patient receives a biopsy confirming prostate cancer diagnosis.
  4. Patient discusses treatment options with their healthcare team, including surgery (prostatectomy).
  5. Patient undergoes pre-operative testing and preparation for surgery.

After prostatectomy:

  1. Patient undergoes prostatectomy surgery to remove the cancerous prostate gland.
  2. Patient may experience side effects such as urinary incontinence and erectile dysfunction immediately following surgery.
  3. Patient begins recovery process, including physical therapy and follow-up appointments with their healthcare team.
  4. Patient may undergo further treatment, such as radiation therapy or hormone therapy, depending on the stage and aggressiveness of the cancer.
  5. Patient and their partner may experience changes in sexual satisfaction and intimacy due to the side effects of treatment.
  6. Patient and partner may seek counseling or support groups to address any emotional or psychological challenges related to the diagnosis and treatment of prostate cancer.
  7. Patient continues to have regular follow-up appointments and monitoring to check for recurrence of cancer or any long-term side effects of treatment.

What to Ask Your Doctor

  1. What are the potential risks and side effects of prostatectomy surgery?
  2. How will the surgery impact my sexual function and erectile function?
  3. What is the recovery process like after prostatectomy surgery?
  4. Are there any alternative treatment options to consider?
  5. How will prostatectomy surgery affect my overall quality of life?
  6. What support resources are available for both myself and my partner during the recovery process?
  7. How often will I need follow-up appointments and monitoring after the surgery?
  8. Are there any lifestyle changes or precautions I should take post-surgery to promote healing and prevent complications?
  9. How will prostatectomy surgery impact my urinary function?
  10. What is the success rate of prostatectomy surgery in terms of cancer control and long-term outcomes?

Reference

Authors: Guercio C, Mehta A. Journal: Sex Med Rev. 2018 Apr;6(2):295-301. doi: 10.1016/j.sxmr.2017.08.005. Epub 2017 Nov 8. PMID: 29128271