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Current Oncology
Volume 25
Issue 6
10.3747/co.25.4111
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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
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Article

The Prostate Cancer Rehabilitation Clinic: A Biopsychosocial Clinic for Sexual Dysfunction after Radical Prostatectomy

by
A. Matthew
*,
N. Lutzky-Cohen
,
L. Jamnicky
,
K. Currie
,
A. Gentile
,
D. Santa Mina
,
N. Fleshner
,
A. Finelli
,
R. Hamilton
,
G. Kulkarni
,
M. Jewett
,
A. Zlotta
,
J. Trachtenberg
,
Z. Yang
and
D. Elterman
Department of Surgical Oncology, University Health Network, 610 University Avenue, Unit 3-130, Toronto, ON M5G 2M9, Canada
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2018, 25(6), 393-402; https://doi.org/10.3747/co.25.4111
Submission received: 8 September 2018 / Revised: 14 October 2018 / Accepted: 12 November 2018 / Published: 1 December 2018

Abstract

Purpose The most prevalent intervention for localized prostate cancer (pca) is radical prostatectomy (rp), which has a 10-year relative survival rate of more than 90%. The improved survival rate has led to a focus on reducing the burden of treatment-related morbidity and improving the patient and partner survivorship experience. Post-rp sexual dysfunction (sdf) has received significant attention, given its substantial effect on patient and partner health-related quality of life. Accordingly, there is a need for sdf treatment to be a fundamental component of pca survivorship programming. Methods Most research about the treatment of post-rp sdf involves biomedical interventions for erectile dysfunction (ed). Although findings support the effectiveness of pro-erectile agents and devices, most patients discontinue use of such aids within 1 year after their rp. Because side effects of pro-erectile treatment have proved to be inadequate in explaining the gap between efficacy and ongoing use, current research focuses on a biopsychosocial perspective of ed. Unfortunately, there is a dearth of literature describing the components of a biopsychosocial program designed for the post-rp population and their partners. Results In this paper, we detail the development of the Prostate Cancer Rehabilitation Clinic (pcrc), which emphasizes multidisciplinary intervention teams, active participation by the partner, and a broad-spectrum medical, psychological, and interpersonal approach. Conclusions The goal of the pcrc is to help patients and their partners achieve optimal sexual health and couple intimacy after rp, and to help design cost-effective and beneficial rehabilitation programs.
Keywords: prostate cancer; sexual dysfunction; rehabilitation; biospsychosocial approaches prostate cancer; sexual dysfunction; rehabilitation; biospsychosocial approaches

Share and Cite

MDPI and ACS Style

Matthew, A.; Lutzky-Cohen, N.; Jamnicky, L.; Currie, K.; Gentile, A.; Mina, D.S.; Fleshner, N.; Finelli, A.; Hamilton, R.; Kulkarni, G.; et al. The Prostate Cancer Rehabilitation Clinic: A Biopsychosocial Clinic for Sexual Dysfunction after Radical Prostatectomy. Curr. Oncol. 2018, 25, 393-402. https://doi.org/10.3747/co.25.4111

AMA Style

Matthew A, Lutzky-Cohen N, Jamnicky L, Currie K, Gentile A, Mina DS, Fleshner N, Finelli A, Hamilton R, Kulkarni G, et al. The Prostate Cancer Rehabilitation Clinic: A Biopsychosocial Clinic for Sexual Dysfunction after Radical Prostatectomy. Current Oncology. 2018; 25(6):393-402. https://doi.org/10.3747/co.25.4111

Chicago/Turabian Style

Matthew, A., N. Lutzky-Cohen, L. Jamnicky, K. Currie, A. Gentile, D. Santa Mina, N. Fleshner, A. Finelli, R. Hamilton, G. Kulkarni, and et al. 2018. "The Prostate Cancer Rehabilitation Clinic: A Biopsychosocial Clinic for Sexual Dysfunction after Radical Prostatectomy" Current Oncology 25, no. 6: 393-402. https://doi.org/10.3747/co.25.4111

APA Style

Matthew, A., Lutzky-Cohen, N., Jamnicky, L., Currie, K., Gentile, A., Mina, D. S., Fleshner, N., Finelli, A., Hamilton, R., Kulkarni, G., Jewett, M., Zlotta, A., Trachtenberg, J., Yang, Z., & Elterman, D. (2018). The Prostate Cancer Rehabilitation Clinic: A Biopsychosocial Clinic for Sexual Dysfunction after Radical Prostatectomy. Current Oncology, 25(6), 393-402. https://doi.org/10.3747/co.25.4111

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