Time and time again, this has come up as lacking overall as part of patient care.

  • ‘Erections are an afterthought.’—ID4

  • ‘Medical therapy was given but one year later, after continence issues had settled.’—ID5

  • ‘No therapies were offered’—ID4

  • ‘Increasing diagnoses, should mean improved care.’—ID2

Patients do have these problems, yet they are unaddressed by secondary care, with limited access to treatment of side effects or ED management. It is very clear from these comments that psychosexual care is a significant area of care which needs to be addressed (Table 48.1). There were also significant time delays e.g. 12 months of getting access to ED medication. It was highlighted that care needs to be tailored to each patients’ personal circumstance.

Table 48.1 Code 3: Lack of psychosexual care