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Terrier JE, Ruffion A, Hamant C, Rousset V, Kalecinski J, Baudot A, Dumas A, Chauvin F, Bourmaud A. Patient Education for Radical Prostatectomy: Development of a Program Tailored to the Needs of Prostate Cancer Patients. Am J Mens Health 2021; 15:15579883211063317. [PMID: 34923862 PMCID: PMC8721889 DOI: 10.1177/15579883211063317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2021] [Revised: 11/08/2021] [Accepted: 11/11/2021] [Indexed: 12/24/2022] Open
Abstract
In all, 30% to 90% of prostate cancer patients undergoing radical prostatectomy (RP) recover their erectile capacity. No effective post RP erectile rehabilitation program exists to date. The aim of this exploratory qualitative study is to explore the needs of these patients and to develop a patient education program (PEP) which meets these needs. Interviews were carried out by a socio-anthropologist with prostate cancer patients treated by RP within the 6 previous months. The needs and expectations identified led to the choice of a logical model of change for the construction of the PEP. Nineteen patients were included in the study; 17 of them were living with a partner. Two categories of patients appeared during the interviews: informed patients resigned to lose their sexuality and patients misinformed about the consequences of the surgery. The tailored program was built on the Health Belief Model and provides six individual sessions, including one with the partner, to meet the needs identified. This study designed the first program to target comprehensively the overall sexuality of the patient and his partner, and not only erection issues. To demonstrate the effectiveness of this program, a controlled, multicentric clinical trial is currently ongoing.
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Affiliation(s)
- Jean-Etienne Terrier
- Department of Urology, Centre Hospitalier Lyon Sud, Lyon, France
- Health Services and Performance Research Unit, EA 74 25, Lyon 1 University, Lyon, France
| | - Alain Ruffion
- Department of Urology, Centre Hospitalier Lyon Sud, Lyon, France
| | - Chloé Hamant
- Hygée Center, University Hospital of Saint Etienne, Saint Etienne, France
| | - Vanessa Rousset
- Hygée Center, University Hospital of Saint Etienne, Saint Etienne, France
| | - Julie Kalecinski
- Hygée Center, University Hospital of Saint Etienne, Saint Etienne, France
| | - Amandine Baudot
- Hygée Center, University Hospital of Saint Etienne, Saint Etienne, France
| | | | - Franck Chauvin
- Health Services and Performance Research Unit, EA 74 25, Lyon 1 University, Lyon, France
- Hygée Center, University Hospital of Saint Etienne, Saint Etienne, France
| | - Aurelie Bourmaud
- INSERM U1123 ECEVE, Paris, France
- Robert Debré University Hospital, Paris, France
- Université de Paris, Paris, France
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Salomon L, Rozet F, Soulié M. La chirurgie du cancer de la prostate : principes techniques et complications péri-opératoires. Prog Urol 2015; 25:966-98. [DOI: 10.1016/j.purol.2015.08.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2015] [Accepted: 08/06/2015] [Indexed: 11/25/2022]
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Culha MG, Pastuszak A, Serefoglu EC. Re: Effect of Tadalafil Once Daily on Penile Length Loss and Morning Erections in Patients After Bilateral Nerve-sparing Radical Prostatectomy: Results From a Randomized Controlled Trial (Urology 2015;85:1090-1096). Urology 2015; 86:1242-3. [PMID: 26404057 DOI: 10.1016/j.urology.2015.08.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Revised: 08/02/2015] [Accepted: 08/03/2015] [Indexed: 11/18/2022]
Affiliation(s)
- Mehmet Gokhan Culha
- Department of Urology Istanbul Training and Research Hospital Istanbul, Turkey
| | - Alexander Pastuszak
- Department of Urology Bağcilar Training and Research Hospital Istanbul, Turkey
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