Psychosexual experiences of men following radiotherapy for prostate cancer in Johannesburg, South Africa

Health SA Gesondheid

 
 
Field Value
 
Title Psychosexual experiences of men following radiotherapy for prostate cancer in Johannesburg, South Africa
 
Creator Phahlamohlaka, Matheko N. Mdletshe, Sibusiso Lawrence, Heather
 
Subject radiotherapy prostate cancer; radiotherapy; sexual experiences; sexual healthcare; radiation induced erectile dysfunction
Description Background: Radiation-induced erectile dysfunction (RiED) often occurs among patients diagnosed with prostate cancer (PCa) who undergo radiation treatment. However, sexual health care (SHC) is not a common practice in radiation oncology departments worldwide. Sexual health care in this context refers to a practice of integrating discussions around sexual well-being into the routine follow-up appointments of PCa patients to achieve better patient-centred care. Previous research identified unmet patient needs and mismatched expectations between patients and health care providers regarding SHC, but no such studies have been conducted in a South African setting.Aim: The aim of this study was to explore and describe the psychosexual experiences of men following radiotherapy for PCa treated in Johannesburg.Setting: A qualitative phenomenology design with an interpretive research paradigm was employed, which allowed the study objectives to be achieved. Purposive sampling was used to recruit participants from a population of 305 patients. Data were transcribed verbatim and analysed in a step-by-step approach.Method: Data saturation was reached after completing semi-structured individual interviews (n = 9).Results: Feedback received from the participants was classified into three main themes: (1) their sexual experiences after PCa diagnosis, (2) the impact of losing sexual function on their relationships and (3) the lack of information from medical oncology staff regarding sexual health. Diverse psychosexual experiences and emotional reactions associated with erectile dysfunction before and after radiation therapy were identified.Conclusion: The loss of sexual function had a detrimental impact on the men’s quality of life, psychological well-being and intimate relationships. Participants shared unsatisfactory feelings about inconsistent and unmet SHC expectations in the radiation oncology clinic.
 
Publisher AOSIS Publishing
 
Contributor
Date 2018-10-09
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative Research
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/hsag.v23i0.1057
 
Source Health SA Gesondheid; Vol 23 (2018); 6 pages 2071-9736 1025-9848
 
Language eng
 
Relation
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https://hsag.co.za/index.php/hsag/article/view/1057/html https://hsag.co.za/index.php/hsag/article/view/1057/epub https://hsag.co.za/index.php/hsag/article/view/1057/xml https://hsag.co.za/index.php/hsag/article/view/1057/pdf_1
 
Coverage Johannesburg; South Africa 2011-2014 male patients
Rights Copyright (c) 2018 Matheko Phahlamohlaka https://creativecommons.org/licenses/by/4.0
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