Penile carcinoma: from first symptom to sexual function and life satisfaction following organ-sparing laser treatment

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MARC

Skeppner, Elisabet [Elisabeth],1962-Örebro universitet,Institutionen för hälsovetenskap och medicin (author)

Penile carcinoma : from first symptom to sexual function and life satisfaction following organ-sparing laser treatment

BookEnglish2012

Publisher, publication year, extent ...

Örebro :Örebro universitet,2012
101 s.
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:oru-24417
ISBN:9789176688915
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-24417URI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:vet swepub-contenttype
Subject category:dok swepub-publicationtype

Series

Örebro Studies in Medicine,1652-4063 ;73

Notes

Varierande stavning av förnamnet Elisabet förekommer.
The overall aim of this thesis was to describe how patients with penile carcinoma experienced their symptoms, treatment seeking and the impact of the diagnosis and treatment on sexual function, sexual activity and life satisfaction. The thesis contains two studies of patients treated with organ-sparing laser therapy, a retrospective study (Papers II and III) of 46 patients treated between 1986-2000 and a prospective study (Papers I and IV) of 50 patients between 2005 and 2009 and additional 34 partners. In both studies face-to-face interviews were used with a structured questionnaire; and self-assessment instruments IIEF-5, LiSat-11, and HADS. An ad hoc comparator population of men aged 34–74 years from a nationally representative investigation of sexual life and life satisfaction in Swedes was chosen for some of the questions concerning sexuality and life satisfaction. We found a delay of more than 6 months in 37% of the patients in the retrospective study and 65% of the patients in the prospective study. The single most important reason for patients’ delay was embarrassment. Nine patients had a doctors’ delay of more than 3 months from first special visit until diagnosis. Eight of these patients consulted dermatologists and were subjected to repeated biopsies, leaving premalignant results (I, II). All patients younger than 75 years (34/46) in the retrospective study reported that they were sexual active before treatment, 80% of these had resumed their activity by the time of the interview. Furthermore, except for satisfaction with somatic health, similar—or even higher—proportions of patients than comparators were satisfied with life as a whole and with other domains of life including satisfaction with sexual life (III). We found that 21/29 couples were sexually active with intercourse before treatment and 17 couples resumed their activity. Two items differed markedly from the comparators; considerably fewer patients were satisfied with their somatic health, and satisfaction with sexual life (at 12 months follow-up). Couples with an active partner-related sexuality at 12 months follow-up, reported coherence in high satisfaction with life as a whole (IV).In conclusion, patients with penile carcinoma delay for a long time after identifying symptoms before seeking contact with the health care system. This delay is mainly caused by embarrassment in describing the symptom to health care personnel and deficient knowledge about the disease. Organ- sparing technique offers good, satisfying cosmetic results and the possibility of maintaining sexual activity and function to a great extent.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Urologi och njurmedicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Urology and Nephrology hsv//eng
Penile carcinoma
sexuality
life satisfaction
treatment-seeking
sexual function
Sexual dysfunction
delay
organ-sparing
Surgery
Kirurgi

Added entries (persons, corporate bodies, meetings, titles ...)

Johansson, Jan-Erik,ProfessorÖrebro universitet,Institutionen för hälsovetenskap och medicin(Swepub:oru)jkjn (thesis advisor)
Windahl, Torgny,DocentUrologiska kliniken, Örebro läns landsting, Örebro, Sweden (thesis advisor)
Sjögren Fugl-Meyer, Kerstin,ProfessorKarolinska universitetssjukhuset, Stockholm, Sweden (thesis advisor)
Hedelin, Hans,DocentFoU-enheten och urologkliniken, Skaraborgs sjukhus, Skövde, Sweden (opponent)
Örebro universitetInstitutionen för hälsovetenskap och medicin (creator_code:org_t)

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