Women's experience of sexuality after radical cystectomy - a qualitative study.

IF 1.4 4区 医学 Q3 UROLOGY & NEPHROLOGY Scandinavian Journal of Urology Pub Date : 2023-02-01 DOI:10.1080/21681805.2022.2157872
Annica Löfgren, Karin Stenzelius, Fredrik Liedberg, Anne-Marie Wangel
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Abstract

Purpose: The aim of this study was to explore how women experienced sexuality after radical cystectomy due to bladder cancer.

Methods: We performed an interview study with qualitative design with content analysis. Inclusion criteria were age below 75 years. In total 10 women, with a median age of 64 years at surgery, were interviewed at median 24 months post radical cystectomy.

Results: The 10 women described sexual life as affected after surgery but they all tried to find ways to overcome the new situation together with their partner. The overall theme was 'A balance between emotional and physical closeness' emerged from 30 codes that were condensed into five subcategories and two categories: 'A sensual relationship' and 'A sexual relationship'. The first category constituted the subcategories 'Feeling of intimacy' and 'The importance of the relationship'. The category 'A sexual relationship' was revealed from the subcategories 'Reluctance to engage in sexual activity' and 'Partner inability to engage in sexual activity', and 'Acting for sexual rehabilitation'.

Conclusions: The uncertainty that the women felt about their anatomical changes after radical cystectomy created a sexual anxiety and reluctance to resume intercourse. Even though the surgery had a major impact on their sexual life, the women tried to be sexually active. However, the meaning of sexual life was not just having sexual activity but also included closeness, affirmation, affection, and feeling attractive. Sexual counseling at an appropriate timepoint is essential to assure a balance between emotional and physical closeness, i.e. to regain sexual health.

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根治性膀胱切除术后女性的性体验——一项定性研究。
目的:本研究的目的是探讨膀胱癌根治性膀胱切除术后女性的性体验。方法:采用定性设计与内容分析相结合的访谈研究。纳入标准为年龄在75岁以下。在根治性膀胱切除术后的中位24个月,共有10名女性接受了采访,手术时中位年龄为64岁。结果:这10名女性称手术后性生活受到影响,但她们都试图与伴侣一起寻找克服新情况的方法。总体主题是“情感和身体亲密之间的平衡”,从30个代码中提炼出来,分为5个子类别和2个类别:“感官关系”和“性关系”。第一类包括“亲密感”和“关系的重要性”。“一段性关系”这一类别是从“不愿从事性活动”、“伴侣无法从事性活动”和“为性康复而行动”这几个子类别中揭示出来的。结论:女性对根治性膀胱切除术后解剖结构变化的不确定性产生了性焦虑和不愿恢复性交。尽管手术对她们的性生活产生了重大影响,但她们还是努力保持性生活活跃。然而,性生活的意义不仅仅是性活动,还包括亲密、肯定、感情和感觉有吸引力。在适当的时间点进行性咨询对于确保情感和身体亲密之间的平衡至关重要,即恢复性健康。
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来源期刊
Scandinavian Journal of Urology
Scandinavian Journal of Urology UROLOGY & NEPHROLOGY-
CiteScore
2.90
自引率
6.70%
发文量
70
期刊介绍: Scandinavian Journal of Urology is a journal for the clinical urologist and publishes papers within all fields in clinical urology. Experimental papers related to clinical questions are also invited.Important reports with great news value are published promptly.
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