[Maintaining Intimate Relationships After Total Penectomy: A Nursing Care Perspective]

In Eastern cultures, sexuality and intimate relations are typically regarded as delicate issues and generally ignored in treatment processes, which may cause physical, psychological, and even spiritual suffering throughout the process of recovery. This article discusses a case report involving a 42-year-old male patient, who was diagnosed with penile cancer and subsequently received a total penectomy and urethral reconstruction. Nursing care was provided from May 24 to June 15, 2023. The information was gathered using observation, interviews, and chart reviews. In addition to a surgical wound infection, the patient evidenced emotional suppression and psychological distress associated with their cancer diagnosis and changes in body image after the penectomy. The patient displayed doubtfulness and a disposition to shun closeness. The health problems detected included infection, body image problems, and an inability to have intimacy. The model used during the care period was EX-PLISSIT (extended permission limited-information specific- suggestion intensive-therapy), which was utilized to offer education, communication and feedback concerning intimacy and potential recommendations. A multidisciplinary team worked together to develop a suitable medical and psychological care plan. By affirming the patient's self-worth and helping them recognize and adapt to bodily changes, nursing care enhanced self-care ability. Through early nursing intervention and professional support, the patient and family were guided to explore ways of intimate interaction after surgery, helping to maintain closeness and improve life satisfaction. This experience may serve as a reference for nurses caring for patients with penile cancer to help these patients maintain intimate relationships postoperatively.