Psychosocial issues: pelvic exenterative surgery.

Area of Science:

• Oncology
• Psychology
• Surgical Sciences

Background:

• Pelvis Exenterative Surgery (PES) is a radical procedure for advanced pelvic cancers.
• Associated factors include cancer diagnosis, recurrence, and various surgical interventions like hysterectomy, prostatectomy, and colostomy.
• Psychosocial consequences are a significant concern for patients undergoing these treatments.

Purpose of the Study:

• To review the literature on the psychosocial consequences of Pelvis Exenterative Surgery (PES).
• To examine the impact of cancer diagnosis, recurrence, and related surgical procedures on patient well-being.
• To discuss preoperative patient-surgeon interactions, postoperative psychiatric syndromes, and sexual dysfunctions.

Main Methods:

• Literature review of studies examining psychosocial outcomes related to PES.
• Analysis of reported incidences of anxiety, depression, self-image issues, sexual dysfunction, and social isolation.
• Examination of patient-provider interactions and management of acute psychiatric syndromes.

Main Results:

• High rates of anxiety, depression, self-image disturbance, sexual dysfunction, and social isolation are reported.
• Studies specifically on PES suggest its psychosocial impact may not be as severe as expected.
• Methodological limitations in current research prevent definitive conclusions regarding PES's unique impact.

Conclusions:

• While cancer and related surgeries cause significant psychosocial distress, the specific impact of PES requires further investigation due to study limitations.
• Effective patient-provider communication and management of postoperative psychiatric issues are crucial.
• Principles for preparing patients for invasive procedures can facilitate better outcomes.