Code 7: An Automatic Pathway for Patients with Erectile Dysfunction After Prostate Surgery

  • Sanchia S. Goonewardene
  • Raj Persad
Chapter

Abstract

Based on the results above it was felt that any pathway needed to be a standardized pathway of care for ED and also addressing side effects of therapy whilst managing patient expectations both pre and post operatively (Table 52.1).
  • ‘Proper aftercare needs to be in place.’—ID2

  • ‘If we are given a choice between cancer and erections, we choose clearance of cancer, but ED does need to be addressed.’ —ID3.

Based on the results above it was felt that any pathway needed to be a standardized pathway of care for ED and also addressing side effects of therapy whilst managing patient expectations both pre and post operatively (Table 52.1).
  • ‘Proper aftercare needs to be in place.’—ID2

  • ‘If we are given a choice between cancer and erections, we choose clearance of cancer, but ED does need to be addressed.’ —ID3.

Table 52.1

Code 7: Automatic pathway for ED

 

Patient quotes using Patient Identification Numbers

Requirement for standardised pathway

‘The intervention needs to be automatic and standard care.’—ID3

Pre-operative counselling

At the same time there is a requirement for counselling and meetings to prepare patients.’—ID4

Requirement for pathway

Timing of pathway

An immediate standardized pathway after incontinence has been treated needs to be in place.’—ID5

This also extended to counselling. What is becoming quite apparent, is the requirement for psychosexual pathway as a recurrent theme. Whilst cancer control is acknowledged as initially important as part of survival, so too is ED.

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Sanchia S. Goonewardene
    • 1
  • Raj Persad
    • 2
  1. 1.The Royal Free Hospital and UCLLondonUnited Kingdom
  2. 2.North Bristol NHS TrustBristolUnited Kingdom

Personalised recommendations