Vol 25, No 4 (2020)
Published online: 2020-07-01

open access

Page views 193
Article views/downloads 251
Get Citation

Connect on Social Media

Connect on Social Media

Prostatic irradiation-induced sexual dysfunction: A review and multidisciplinary guide to management in the radical radiotherapy era (Part III on Psychosexual Therapy and the Masculine Self-Esteem)

Marigdalia K. Ramirez-Fort1234, Paula Suarez4, Margely Carrion4, Daniel Weiner56, Claire Postl7, Ricardo Arribas8, Mehdi Sayyah9, Digna V. Forta110, M. Junaid Niaz2, Amir Feily11, Christopher S. Lange13, Zhahedia Zhaythseff Fort12, Migdalia Fort156
DOI: 10.1016/j.rpor.2020.03.014
Rep Pract Oncol Radiother 2020;25(4):625-631.


Psychological morbidity, sexuality, and health/system information have been identified as the highest areas of support needs in patients undergoing management of their prostate cancer (PCa). Management of a patient’s sexual function prior to, during and after PCa radiotherapy requires multidisciplinary coordination of care between radiation oncologists, urologists, dermatologists, pharmacists, and psychiatrists. The finale of this three-part review provides a framework for clinicians to better understand the role of mental healthcare providers in the management of sexual toxicities associated with prostatic radiotherapy. The authors recommend that patients be referred for psychological evaluation and possibly to individual, couples or group general or cognitive behavioral sex therapy at the time of their PCa diagnosis, for a more specialized focus on management of sexual toxicities and sexual recovery. The importance and implications of the masculine self-esteem, sexual orientation, gender identification, cultural expectations, relationship status and patient education are reviewed. Well-informed patients tend to have a better quality of life outcomes compared to patients that take on a passive role in their cancer management.

Article available in PDF format

View PDF Download PDF file

Reports of Practical Oncology and Radiotherapy