open access

Vol 25, No 4 (2020)
Reviews
Published online: 2020-07-01
Submitted: 2020-01-13
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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-Fort, Paula Suarez, Margely Carrion, Daniel Weiner, Claire Postl, Ricardo Arribas, Mehdi Sayyah, Digna V. Forta, M. Junaid Niaz, Amir Feily, Christopher S. Lange, Zhahedia Zhaythseff Fort, Migdalia Fort
DOI: 10.1016/j.rpor.2020.03.014
·
Rep Pract Oncol Radiother 2020;25(4):625-631.

open access

Vol 25, No 4 (2020)
Reviews
Published online: 2020-07-01
Submitted: 2020-01-13

Abstract

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.

Abstract

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.

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Keywords

Prostate cancer; Sexual toxicities; Erectile dysfunction; Ejaculatory dysfunction; Orgasmic dysfunction; Radiation therapy; Psychosexual therapy; Masculine self-esteem

About this article
Title

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)

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 25, No 4 (2020)

Pages

625-631

Published online

2020-07-01

DOI

10.1016/j.rpor.2020.03.014

Bibliographic record

Rep Pract Oncol Radiother 2020;25(4):625-631.

Keywords

Prostate cancer
Sexual toxicities
Erectile dysfunction
Ejaculatory dysfunction
Orgasmic dysfunction
Radiation therapy
Psychosexual therapy
Masculine self-esteem

Authors

Marigdalia K. Ramirez-Fort
Paula Suarez
Margely Carrion
Daniel Weiner
Claire Postl
Ricardo Arribas
Mehdi Sayyah
Digna V. Forta
M. Junaid Niaz
Amir Feily
Christopher S. Lange
Zhahedia Zhaythseff Fort
Migdalia Fort

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