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Unmet needs in sexual health in bladder cancer patients : a systematic review of the evidence
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- Bessa, Agustina (författare)
- Kings Coll London, Sch Canc & Pharmaceut Studies, TOUR, Guys Hosp, 3rd Floor Bermondsey Wing, London SE1 9RT, England.
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- Martin, Rebecca (författare)
- Royal Marsden, Dept Urol, London, England.
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- Häggström, Christel (författare)
- Uppsala universitet,Umeå universitet,Enheten för biobanksforskning,King’s College London, School of Cancer and Pharmaceutical Studies, Translational Oncology & Urology Research (TOUR), London, UK; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden,Endokrinkirurgi,Kings Coll London, Sch Canc & Pharmaceut Studies, TOUR, Guys Hosp, 3rd Floor Bermondsey Wing, London SE1 9RT, England.;Umea Univ, Dept Biobank Res, Umea, Sweden.
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- Kings Coll London, Sch Canc & Pharmaceut Studies, TOUR, Guys Hosp, 3rd Floor Bermondsey Wing, London SE1 9RT, England Royal Marsden, Dept Urol, London, England. (creator_code:org_t)
- 2020-06-03
- 2020
- Engelska.
- Ingår i: BMC Urology. - : BioMed Central (BMC). - 1471-2490. ; 20:1
- Forskningsöversikt (refereegranskat)
Abstract
Ämnesord
Stäng
- Background: Bladder cancer (BC) treatment can have a detrimental effect on the sexual organs of patients and yet assessment of sexual health needs has been greatly overlooked for these patients compared to those who have undergone other cancer therapies.Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines in July 2019. Studies were identified by conducting searches for Medline (using the PubMed interface), the Cochrane Central Register of Controlled Trials (CENTRAL) and Ovid Gateway (Embase and Ovid) using a list of defined search terms.Results: 15 out of 37 studies included men only, 10 studies women only and 11 both sexes. Most participants were aged 50 to 65 years. Most studies (n = 34) focused on muscle invasive BC and only three on non-muscle invasive BC. Measurements of sexual dysfunction, including erection, ejaculation, firmness and desire, were the most commonly used measurements to report sexual health in men. In women, lubrification/dryness, desire, orgasm and dyspareunia were the most commonly reported. Twenty-one studies evaluated sexual dysfunction based on validated questionnaires, two with a non-validated questionnaire and through interviewing participants.Conclusion: While recognition of the importance of the inclusion of psychometric measurements to assess sexual health is growing, there is a lack of consistent measures to assess sexual health in BC. With the focus on QoL arising in cancer survivorship, further studies are needed to develop, standardize and implement use of sexual health questionnaires with appropriate psychometrics and social measures to evaluate QoL in BC patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- Bladder cancer
- Sexual health
- Radical cystectomy
- Health-related quality of life
- Mental wellbeing
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