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PD32-04 IMPACT OF DIAGNOSIS OF UROLOGIC CANCER ON MALE SEXUALITY

2024; Lippincott Williams & Wilkins; Volume: 211; Issue: 5S Linguagem: Inglês

10.1097/01.ju.0001009364.27111.54.04

1527-3792

Rodrigo Barros, Gabriel de Moraes Manga, Thiago Ninis, Billy McBenedict, Niteroi Brazil, Joao Paulo A. Martins Carvalho, Rafael C. de Carvalho Gagliano, F. A. C. R. G. de Magalhães, Luciano A. Favorito,

Male Reproductive Health Studies

You have accessJournal of UrologySexual Function/Dysfunction: Evaluation II (PD32)1 May 2024PD32-04 IMPACT OF DIAGNOSIS OF UROLOGIC CANCER ON MALE SEXUALITY Rodrigo Barros, Gabriel de Moraes Manga, Thiago Ninis, Billy McBenedict, Niteroi Brazil, Joao Paulo A. Martins Carvalho, Rafael C. de Carvalho Gagliano, Fernando A. Magalhães, and Luciano Alves Favorito Rodrigo BarrosRodrigo Barros , Gabriel de Moraes MangaGabriel de Moraes Manga , Thiago NinisThiago Ninis , Billy McBenedictBilly McBenedict , Niteroi BrazilNiteroi Brazil , Joao Paulo A. Martins CarvalhoJoao Paulo A. Martins Carvalho , Rafael C. de Carvalho GaglianoRafael C. de Carvalho Gagliano , Fernando A. MagalhãesFernando A. Magalhães , and Luciano Alves FavoritoLuciano Alves Favorito View All Author Informationhttps://doi.org/10.1097/01.JU.0001009364.27111.54.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Urological neoplasms often affect male sexuality, especially due to the physical consequences of their various therapeutic approaches, particularly in cases of prostate, testicle, and penile tumors. However, the diagnosis of cancer can impact the emotional state and have a negative effect on oncology patients, even in neoplasms that are considered non-reproductive. The objective of this study was to assess the impact of a urological neoplasm diagnosis on the sexuality of adult men, as well as the patient's perception of the healthcare professional's approach regarding sexuality at the time of diagnosis. METHODS: Adult men diagnosed with untreated genitourinary cancer, that visited two references Urology Oncology centers between October 2022 and July 2023, underwent interviews using a questionnaire prepared by the research team for the collection of objective clinical data. The following parameters were evaluated: Importance of sexual activity, erection quality, frequency of sexual intercourse following the diagnosis, interaction with partner, anxiety and depression when diagnosed and interaction with the doctor. RESULTS: A total of 156 patients were included in this study, with an age range of 22 to 85 years (mean=65). Among these patients, the diagnoses included prostate cancer in 124 cases (79.4%), bladder cancer in 15 cases (9.6%), kidney cancer in 8 cases (5.1%), testicle cancer in 5 cases (3.2%), and penile cancer in 4 cases (2.5%). Sexual activity was considered important by 139 (89.1%) patients. The majority of patients, 121 (77.5%), reported a decrease in their sexual frequency following the diagnosis. In contrast, 34 patients (21.7%) maintained their pre-diagnosis frequency, while only 1 patient (0.6%) reported an increase. More than half of the patients, 80 (51.2%), experienced the onset of anxiety or depression. Additionally, 110 patients (70.5%) developed various fears, with 98 (62.8%) expressing fear of losing their ability to maintain an erection, and 108 (69.2%) fearing the possibility of transmitting cancer to their partner. Only a few medical doctors, specifically 37 (23.7%), clearly discussed issues related to sexuality at the time of diagnosis. Thirty-one (19.8%) provided only superficial coverage of this topic, and a noteworthy portion, 88 (56.4%), did not mention the subject at all. In terms of patient satisfaction, 65 individuals (41.6%) expressed contentment with their doctors' approach, while the majority, 91 (58.3%), were dissatisfied. CONCLUSIONS: Sexual problems are not limited to those with genital urological cancer and can also affect patients with kidney and bladder cancer. The negative impact on male sexuality begins at the time of diagnosis, probably due to anxiety, depression and fears related to cancer and its treatment. Therefore, providing empathetic support, sexual education and multidisciplinary care are extremely important for these patients. Source of Funding: CNPQ and FAPERJ © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e704 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Rodrigo Barros More articles by this author Gabriel de Moraes Manga More articles by this author Thiago Ninis More articles by this author Billy McBenedict More articles by this author Niteroi Brazil More articles by this author Joao Paulo A. Martins Carvalho More articles by this author Rafael C. de Carvalho Gagliano More articles by this author Fernando A. Magalhães More articles by this author Luciano Alves Favorito More articles by this author Expand All Advertisement PDF downloadLoading ...