泌尿系统癌诊断对男性性行为的影响及患者对卫生专业人员方法的看法。

IF 4.5 3区 医学 Q1 UROLOGY & NEPHROLOGY
Rodrigo Barros, Angelo Maurílio Fosse, Alex Schul, Gabriel Mangas, Caio Henrique da Silva Teixeira, Tiago Ninis, João Paulo Martins Carvalho, Luciano A Favorito
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引用次数: 0

摘要

目的:评估泌尿系统肿瘤诊断对男性性行为的影响,并检查患者对医疗保健专业人员在诊断时参与性行为的看法。材料和方法:本研究包括2022年10月至2024年4月在两个泌尿外科癌症中心诊断为泌尿系统肿瘤的成年男性。排除适用于既往接受过癌症治疗、性生活不活跃或有焦虑/抑郁治疗史的患者。数据回顾性地从医疗记录和个人访谈中收集,使用半结构化问卷调查男性性行为、关系动态和医生对性行为的看法。在RStudio中使用卡方检验进行分析。结果:本研究纳入211例患者,年龄22 ~ 85岁,平均65.4岁。在这些患者中,诊断为泌尿生殖系统癌的病例包括前列腺(79.1%)、膀胱(9.9%)、肾脏(4.2%)、睾丸(3.7%)和阴茎(2.8%)肿瘤。90.5%的人认为性活动很重要,其中75.8%的人报告诊断后频率下降(99.5%为异性恋,72.5%为已婚)。46.9%的人报告焦虑或抑郁,而72%的人有特定的恐惧,主要是关于勃起功能和伴侣满意度。只有23.2%的医生在诊断时提到了性行为,当这些讨论发生时,患者的满意度显著提高。满意度水平与肿瘤部位显著相关,膀胱癌患者报告的满意度高于前列腺癌或阴茎癌患者。结论:性问题不仅仅局限于生殖泌尿系统癌症,还影响到肾癌和膀胱癌患者,其影响往往从诊断开始。早期关于性健康的讨论,结合移情支持、性教育和多学科护理,对患者及其伴侣的福祉至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Diagnosis of Urologic Cancer on Male Sexuality and Patients' Perceptions of Health Professional's Approach.

Objective: To evaluate the impact of a urological neoplasm diagnosis on male sexuality and examine patient perceptions of healthcare professionals' engagement with sexuality at diagnosis.

Materials and methods: This study included adult men diagnosed with urological neoplasms across two urology cancer centers from October 2022 to April 2024. Exclusions applied to those with prior cancer treatment, inactive sexual lives, or histories of anxiety/depression treatment. Data were retrospectively gathered from medical records and individual interviews using a semi-structured questionnaire on male sexuality, relationship dynamics, and perceptions of physicians' approach to sexuality. Analysis was conducted in RStudio using chi-square tests.

Results: A cohort of 211 patients were included in this study, with an age range of 22 to 85 years (mean = 65.4). Among these patients, the diagnoses of urogenital cancer included cases of prostate (79.1%), bladder (9.9%), kidney (4.2%), testicular (3.7%), and penile (2.8%) neoplasms. Sexual activity was considered important by 90.5%, with 75.8% reporting decreased frequency post-diagnosis (99.5% were heterosexual and 72.5% were married). Anxiety or depression was reported by 46.9%, while 72% developed specific fears, primarily concerning erectile function and partner satisfaction. Only 23.2% of physicians addressed sexuality at diagnosis, with patient satisfaction significantly higher when these discussions occurred. Satisfaction levels were notably correlated with tumor site, with bladder cancer patients reporting higher satisfaction compared to those with prostate or penile cancer.

Conclusions: Sexual issues extend beyond genital urological cancers, affecting patients with kidney and bladder cancers, with impacts often beginning at diagnosis. Early discussions on sexual health, combined with empathetic support, sexual education, and multidisciplinary care, are essential for the well-being of patients and their partners.

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来源期刊
International Braz J Urol
International Braz J Urol UROLOGY & NEPHROLOGY-
CiteScore
4.60
自引率
21.60%
发文量
246
审稿时长
6-12 weeks
期刊介绍: Information not localized
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