Altered male physiologic function after surgery for prostate cancer: couple perspective.

Area of Science:

• Urology
• Oncology
• Psychology

Background:

• Prostate cancer (PCa) diagnosis and treatment significantly affect male psychological well-being.
• Emerging research emphasizes evaluating outcomes from a couple's perspective.
• Understanding the couple's shared experience post-PCa surgery is crucial.

Purpose of the Study:

• To investigate the perspectives and concordance of male physiological sexual function between prostate cancer (PCa) patients and their partners post-surgery.
• To explore how couples perceive and experience changes in sexual function after PCa treatment.

Main Methods:

• A Retrospective Sexual Survey (RSS) was mailed to couples where the male partner underwent primary PCa surgery.
• Questionnaires assessed physiological changes (libido, erection, orgasm, ejaculation) and psychological impact for both partners.
• Concordance of individual items and domain sums between male patients and female partners was evaluated.

Main Results:

• Eighty-two percent concordance was found regarding sexual interest, with only 40% of men and women satisfied.
• 96% of men reported ejaculation changes (mostly anejaculation) with high concordance.
• 86% of men noted orgasm changes, compared to 36% of female partners, yet most were satisfied with climax ability.

Conclusions:

• Male patients and their female partners may interpret the physiological outcomes of prostate cancer (PCa) surgery differently.
• These differing interpretations highlight the need for tailored counseling for couples navigating post-PCa surgery adjustments.
• Addressing the couple's unique experiences can improve adaptation and satisfaction after treatment.