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Parasexuality in genitourinary investigations: a qualitative study
Allyson Lipp1, Chris Shaw, Paul Gill
1School of Care Sciences, Faculty of Life Sciences & Education, University of South Wales, Glyntaf, CF37 1DL Pontypridd, Wales, UK. allyson.lipp@southwales.ac.uk.
BMC Research Notes
|March 11, 2014
Summary
Older men navigate intimate genitourinary investigations by employing "parasexuality," a managed form of covert sexuality, to maintain professional boundaries and ensure safe patient-provider interactions during sensitive procedures.
Area of Science:
- Urology
- Geriatric Medicine
- Sociology of Health
Background:
- Genitourinary investigations are common in middle-aged and older men, often for prostate issues.
- Genitourinary diseases and their treatments can lead to significant physical, social, and psychological challenges, including impotence and incontinence.
- Understanding men's experiences with intimate investigations is crucial for improving care.
Purpose of the Study:
- To explore older men's experiences and views of intimate genitourinary investigations.
- To develop theories regarding gender and sexuality in the context of these investigations.
Main Methods:
- Qualitative study utilizing semi-structured interviews with 15 men post-urological procedure.
- Informed consent was obtained prior to data collection.
- Thematic analysis was employed to identify recurring concepts and themes.
Main Results:
- The concept of "parasexuality" emerged, describing a channeled and limited form of sexuality to maintain propriety and professional boundaries.
- Participants used parasexuality, influenced by gender stereotypes and cultural norms, to navigate interactions during intimate examinations.
- Exposure and handling of genitalia during investigations challenged parasexual boundaries, leading some participants to suppress their sexuality.
Conclusions:
- Parasexuality offers a framework for understanding communication dynamics between older men and healthcare professionals during genitourinary investigations.
- Further research is needed to explore patient privacy perceptions in genitalia-related care.
- The study highlights the complex interplay of gender, sexuality, and professional conduct in urological care.
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