The impact of diagnosis and treatment of penile cancer on intimacy: a qualitative assessment.

IF 2.8 3区 医学 Q2 UROLOGY & NEPHROLOGY International Journal of Impotence Research Pub Date : 2024-10-21 DOI:10.1038/s41443-024-00992-6
Camille Roumieux, Laurence Royakkers, Maarten Albersen, Eline Dancet
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Abstract

Penile cancer is a rare malignancy (0.5-0.93/100,000 in Western countries) with significant psychosocial and sexual repercussions. This qualitative study explored the impact of penile cancer diagnosis and treatment on intimacy. A convenience sample was identified of 20 potential candidates who were at least 5 months post penile cancer surgery at a hospital centralizing penile cancer care. Participants were recruited by telephone and admitted until data saturation was reached, resulting in a sample of nine men (44-74 years old), none withdrew from participation. All interviews were performed by the same female researcher with no prior relationship to the men. The one-time interviews (35-61 min) followed a semi-structured interview guide, were audio-recorded and transcribed verbatim. Three researchers analysed the data independently using descriptive phenomenological analysis, resulting in a gradually drawn up coding tree mapping out the patient's journey. The central themes that emerged were: (1) Intimate area led to diagnostic delays, intensified diagnosis and induced secrecy; (2) Impact on sexuality prior to surgery; (3) The voyage of sexual re-discovery; (4) A partnered voyage of sexual discovery; (5) Care needs related to intimate area. This study highlights the need for comprehensive and personalized care, including pre-surgical information provision and post-surgical psychosexual support. Addressing the current unmet needs of men with penile cancer requires guidelines for psychosexual interventions and proactive efforts to reduce stigma and to raise awareness.

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阴茎癌的诊断和治疗对亲密关系的影响:定性评估。
阴茎癌是一种罕见的恶性肿瘤(在西方国家为 0.5-0.93/100,000),对社会心理和性生活有重大影响。本定性研究探讨了阴茎癌的诊断和治疗对亲密关系的影响。研究人员在一家阴茎癌集中治疗医院抽取了 20 名阴茎癌术后至少 5 个月的患者作为样本。研究人员通过电话招募参与者,直到数据达到饱和为止,最终确定了 9 名男性(44-74 岁)为样本,其中无人退出。所有访谈均由同一名女性研究人员进行,她与这些男性事先没有任何关系。一次性访谈(35-61 分钟)按照半结构化访谈指南进行,并进行录音和逐字转录。三位研究人员使用描述性现象学分析法对数据进行了独立分析,最终形成了一个逐步绘制的编码树,描绘了患者的心路历程。得出的中心主题是(1)私密处导致诊断延误、强化诊断和诱发保密;(2)对手术前性行为的影响;(3)性的重新发现之旅;(4)性的伴侣发现之旅;(5)与私密处相关的护理需求。这项研究强调了全面和个性化护理的必要性,包括手术前的信息提供和手术后的性心理支持。要满足男性阴茎癌患者目前尚未得到满足的需求,需要制定性心理干预指南,并积极努力减少耻辱感,提高人们的认识。
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来源期刊
International Journal of Impotence Research
International Journal of Impotence Research 医学-泌尿学与肾脏学
CiteScore
4.90
自引率
19.20%
发文量
140
审稿时长
>12 weeks
期刊介绍: International Journal of Impotence Research: The Journal of Sexual Medicine addresses sexual medicine for both genders as an interdisciplinary field. This includes basic science researchers, urologists, endocrinologists, cardiologists, family practitioners, gynecologists, internists, neurologists, psychiatrists, psychologists, radiologists and other health care clinicians.
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