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Title: Relationships between urinary function, sexual function and masculine self-esteem in men following radical prostatectomy for localised prostate cancer.
Authors: Pillay, Brindha
Wootten, Addie
Botti, Mari
Other Authors: Wright, B.
Keywords: Prostate
Prostate Cancer
Prostatic Neoplasms
Post-Operative Urinary Incontinence
Urinary Function
Sexual Dysfunction
Self Esteem
Prostate Cancer Related Quality of Life Scale
Expanded Prostate Cancer Index Composite
Cancer Services Clinical Institute, Epworth HealthCare, Victoria, Australia
UroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australia
Australian Prostate Cancer Research Centre Epworth, Australia
Issue Date: Jul-2016
Citation: Poster 36
Conference Name: Research Week 2016.
Conference Location: Epworth Research Instistute, Epworth Richmond.
Abstract: Introduction: Radical prostatectomy (RP) has routinely been used to treat localised prostate cancer. Despite surgical advancements, post-operative urinary incontinence and sexual dysfunction continue to affect patients. Preliminary evidence suggests that sexual and urinary outcomes of patients post-RP may be related and potentially mediated by changes in masculine self-esteem. This study assessed how changes in urinary function and masculine self-esteem are related to sexual outcomes post-surgery. Methods: Between April 2009 and February 2013, consecutive patients undergoing RP were recruited from urology practices as part of a larger study. In the present study, urinary and sexual function, and masculine self-esteem data were obtained using the Expanded Prostate Cancer Index Composite and Prostate Cancer Related Quality of Life Scale. Changes in patient outcomes were assessed longitudinally over two time periods: 1 Month to 6 Months and 6 months to 24 months post-surgery. Results: The survey was completed by 942 patients at 1-month post-surgery. Over the course of the study, 927 participants were retained. Results indicated a weak relationship between change in urinary outcomes and sexual outcomes. Change in urinary outcomes positively predicted change in masculine self-esteem for both time periods assessed. A change in masculine self- esteem positively predicted sexual outcomes at 6 months and 24 months post-surgery Masculine self-esteem change did not mediate the relationship between urinary and sexual outcomes. Conclusions: Men who reported a decrease in masculine self-esteem, particularly in the latter period of recovery, were more likely to experience poorer sexual outcomes. It may be important to assess men for changes in masculine self-esteem post-RP. This may allow the early identification of patients who require psychosocial support to develop more flexible ways of constructing their masculinities and adjusting to altered sexual functioning.
Type: Conference Poster
Affiliated Organisations: Deakin Centre of Clinical Nursing Research, Australia.
Type of Clinical Study or Trial: Comparative Study
Appears in Collections:Cancer Services
Epworth Prostate Centre
Mental Health
Research Week
UroRenal, Vascular

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