The Prostate Cancer Rehabilitation Clinic: a biopsychosocial clinic for sexual dysfunction after radical prostatectomy

  • A. Matthew University Health Network
  • N. Lutzky-Cohen University Health Network
  • L. Jamnicky University Health Network
  • K. Currie University Health Network
  • A. Gentile University Health Network
  • D. Santa Mina University Health Network
  • N. Fleshner University Health Network
  • Antonio Finelli University Health Network
  • R. Hamilton University Health Network
  • G. Kulkarni University Health Network
  • M. Jewett University Health Network
  • A. Zlotta University Health Network
  • J. Trachtenberg University Health Network
  • Z. Yang University Health Network
  • D. Elterman University Health Network
Keywords: Prostate Cancer, Sexual Dysfunction, Rehabilitation, Biospsychosocial approaches

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.

Author Biographies

A. Matthew, University Health Network

Department of Surgical Oncology

N. Lutzky-Cohen, University Health Network
Department of Surgical Oncology
L. Jamnicky, University Health Network
Department of Surgical Oncology
K. Currie, University Health Network
Department of Surgical Oncology
A. Gentile, University Health Network
Department of Surgical Oncology
D. Santa Mina, University Health Network
Department of Surgical Oncology
N. Fleshner, University Health Network
Department of Surgical Oncology
Antonio Finelli, University Health Network
Department of Surgical Oncology
R. Hamilton, University Health Network
Department of Surgical Oncology
G. Kulkarni, University Health Network
Department of Surgical Oncology
M. Jewett, University Health Network
Department of Surgical Oncology
A. Zlotta, University Health Network
Department of Surgical Oncology
J. Trachtenberg, University Health Network
Department of Surgical Oncology
Z. Yang, University Health Network
Department of Surgical Oncology
D. Elterman, University Health Network
Department of Surgical Oncology
Published
2018-12-20
How to Cite
Matthew, A., Lutzky-Cohen, N., Jamnicky, L., Currie, K., Gentile, A., Santa Mina, D., 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). https://doi.org/10.3747/co.25.4111
Section
Psychosocial Oncology