alexa Prostate Cancer Survivorship and Psychosexual Care: A S

Journal of Cancer Clinical Trials
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Review Article

Prostate Cancer Survivorship and Psychosexual Care: A Systematic Review for a Continuously Evolving Field

Sanchia S Goonewardene1*, Young A2, Raj Persad3 and David Gillatt4

1Guys and St Thomas Hospitals, University of Warwick, London, United Kingdom

2University of Warwick, London, United Kingdom

3North Bristol NHS Trust, Bristol, United Kingdom

4Faculty of Health Science and Medicine, McQuarrie University, Sydney, Australia

*Corresponding Author:
Sanchia S Goonewardene
Guys and St Thomas Hospitals
University of Warwick, London, United Kingdom
Tel: 020 7188 7188
E-mail: ssg7727@yahoo.co.uk

Received Date: September 30, 2015; Accepted Date: January 29, 2016; Published Date: February 08, 2016

Citation: Goonewardene SS, Young A, Persad R, Gillatt D (2016) Prostate Cancer Survivorship and Psychosexual Care: A Systematic Review for a Continuously Evolving Field . J Cancer Clin Trials 1:104. doi: 10.4172/jcct.1000104

Copyright: © 2016 Goonewardene SS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Prostate cancer is the most common cancer in men. With advances in surgery, more and more patients are undergoing radical prostatectomy and one important side effect of surgery is erectile dysfunction. We assess men’s’ post-operative psychosexual needs in two cancer centres in England; co-design and implement a psychosexual pathway in one centre and compare patient experiences and outcomes between the bespoke and usual care pathways. Method: A systematic review was conducted of prostate cancer survivorship and psychosexual care, to support the development of a psychosexual pathway. Population: men post-surgery with prostate cancer post robotic surgery. Intervention: psychosexual care interventions for men post robotic surgery for prostate cancer. Outcome measurements: impact of pathway on psychosexual care to be assessed using IIEF, secondary outcomes health related quality of life and acute and chronic co-morbidities to be assessed. Results: The systematic review elicited over 1200 papers, 27 of which conformed to the search criteria. The psychosexual concerns after prostate cancer surgery were identified from the systematic review by patients as an unmet need. Additionally, very few papers addressed interventions to manage psychosexual concerns for men post robotic prostate cancer surgery. Conclusion: This systematic review demonstrated a large unmet need for psychosexual care in men with prostate cancer post-surgery. Poor health related quality of life was also strongly associated with psychosexual concerns and also co-morbidities, within the systematic review.

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