Areas to Address in Survivorship Care

  • Sanchia S. Goonewardene
  • Raj Persad
Chapter

Abstract

Psychosexual concerns in prostate cancer survivors are a critically important area to study, as there is a significant, unaddressed gap in care [1]. This leads to unaddressed issues of psychosexual concerns, side effects of treatment and [2]. Psychosexual concerns post-surgery are all essential areas to investigate in focused detail as highlighted by the systematic review. Yet this is not addressed in current care.

Psychosexual concerns in prostate cancer survivors are a critically important area to study, as there is a significant, unaddressed gap in care [1]. This leads to unaddressed issues of psychosexual concerns, side effects of treatment and [2]. Psychosexual concerns post-surgery are all essential areas to investigate in focused detail as highlighted by the systematic review. Yet this is not addressed in current care.

Within this study reasons for lack of psychosexual care available were identified. This was partly contributed to by gender, age and ethnicity related taboos. This also showed a lack of national standards for psychosexual care/early access to therapy. Currently there was no standardised pathway for follow-up of psychosexual care and limited access to psychosexual care. The lack of therapy for emotional and sexual concerns includes counselling and medical therapy or devices and post-operative problems for which specialist care is required.

Within this study a psychosexual pathway has been created based on patient and healthcare professional advice which addresses psychosexual needs of patients after surgery for prostate cancer, with recommendations for a future phase of study. This has led to development of patient care, which is central and the driving force behind the research work done.

References

  1. 1.
    Maddams J, Brewster D, Gavin A, Steward J, Elliott J, Utley M, Moller H. Cancer prevalence in the United Kingdom: estimates for 2008. Br J Cancer. 2009;101:541–7.CrossRefGoogle Scholar
  2. 2.
    Forbat L, White I, Marshall-Lucette S, Kelly D. Discussing the sexual consequences of treatment in radiotherapy and urology consultations with couples affected by prostate cancer. BJU Int. 2012;109:98–103.CrossRefGoogle Scholar

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

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