Code 2: Emotional and Sexual Concerns Post-surgery

  • Sanchia S. Goonewardene
  • Raj Persad
Chapter

Abstract

There was a general all around consensus that erectile dysfunction care was lacking significantly, and the requirement for this may be significantly worse in younger men and those in a single relationship (Table 47.1).
  • ‘The emotional impact is related to personal circumstances, especially if younger.’—ID2

  • ‘My cancer was aggressive and nerves were removed. There is a lack of care for EDThe recovery may be time related.’—ID2

  • ‘For younger people under the age of 60, this ED care needs to be standard.’

  • ‘The age of cancer is getting younger, with fertility problems.’—ID 3

There was a general all around consensus that erectile dysfunction care was lacking significantly, and the requirement for this may be significantly worse in younger men and those in a single relationship (Table 47.1).
  • ‘The emotional impact is related to personal circumstances, especially if younger.’—ID2

  • ‘My cancer was aggressive and nerves were removed. There is a lack of care for EDThe recovery may be time related.’—ID2

  • ‘For younger people under the age of 60, this ED care needs to be standard.’

  • ‘The age of cancer is getting younger, with fertility problems.’—ID 3

Table 47.1

Code 2: Emotional and sexual concerns post-surgery

 

Patient quotes using Patient Identification Numbers

Age and gender related issues

‘The emotional impact is related to personal circumstances, especially if younger.’—ID 1

Requirement for Tailored Care

‘Patients who are at different stages have different requirements for ED. This is impacted on by the extent of surgery.’—ID3

Lack of psychosexual care

‘We need a specialist in ED. It needs to be taken seriously.’—ID4

Lack of ED care

Ethnicity issues

‘The cancer is treated very well, not ED.’—ID5

‘We lack the proper medicines for ED and a serious medical approach, especially in the Afro-Caribbean population.’—ID1

‘In an Afro-Caribbean culture, patients would rather die than suffer ED.’ ID1

Additionally, it was felt that in patients from an ethnic minority, psychosexual care treatment requirements were not significantly met. This again clearly highlighted the need for a pathway to deliver this care. There is a clear lack of psychosexual care demonstrated here, with acknowledgement of this problem as a significant issue. There was also a great deal of self-awareness within this group that the age of diagnosis is getting younger and that services need to be able to manage this. A pathway of care would draw together and address all these needs.

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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