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Medical and Psychosocial Issues in Prostate Cancer Survivors

  • Chapter
Cancer Survivorship

Abstract

Of the more than 200,000 men diagnosed each year with prostate cancer in the United States,1 most live with their disease or the effects of treatment for many years.2 Although many men remain asymptomatic throughout their lives, others face a multitude of physical and psychosocial challenges. Because the duration of survival is typically long, patients and their families are particularly interested in optimizing their quality of life. At the generic level, health-related quality of life (HRQOL) encompasses an individual’s perceptions of his or her own health and ability to function in the physical, emotional, and social domains.3,4 In prostate cancer survivors, the medical outcomes of urinary, bowel, and sexual impairments that result from treatment will influence the rest of the patient’s life. The psychosocial aspects of HRQOL are impacted by the intimate nature of these medical side effects. Urinary leakage and erectile dysfunction may cause both private and public social embarrassment. In addition, such treatment-related complications may be compounded by the additional stressors associated with aging, such as retirement or death of peers.5 Nearly onethird of men diagnosed with prostate cancer in a genitourinary clinic had levels of psychologic distress that met criteria for anxiety disorder.6

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Authors and Affiliations

  1. Department of Urology, Dale University Medical School, Durham, North Carolina, USA

    Tracey L. Krupski M.D. (Assistant Professor)

  2. Department of Urology and Health Services, David Geffen School of Medicine, School of Public Health, Jonsson Comprehensive Cancer Center, University of California, Los Angeles, California, USA

    Mark S. Litwin M.D., M.P.H. (Professor)

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  1. Tracey L. Krupski M.D.
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  1. Division of Cancer Prevention and Control Research Jonsson Comprehensive Cancer Center, UCLA Schools of Public Health and Medicine, Los Angeles, CA, 90095-6900, USA

    Patricia A. Ganz M.D. (American Cancer Society Research Professor) (American Cancer Society Research Professor)

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Krupski, T.L., Litwin, M.S. (2007). Medical and Psychosocial Issues in Prostate Cancer Survivors. In: Ganz, P.A. (eds) Cancer Survivorship. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68265-5_12

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