Assessment of selected quality of life domains in patients who have undergone conservative or radical surgical treatment for penile cancer: an observational study
Conformity to Masculinity Norms Inventory;
health-related quality of life (HRQoL);
International Index of Erectile Function;
partial penectomy;
penile-sparing surgery;
self-esteem;
PARTIAL PENECTOMY;
SEXUAL FUNCTION;
SELF-ESTEEM;
MASCULINITY;
COUPLES;
CONSTRUCTIONS;
OUTCOMES;
TRENDS;
IMPACT;
D O I:
10.1071/SH17119
中图分类号:
R1 [预防医学、卫生学];
学科分类号:
1004 ;
120402 ;
摘要:
Background Surgery is the standard treatment for organ-restricted penile cancer, but it is also a disfiguring procedure that can profoundly affect quality of life. Using a survey, in this study we assessed the effect of different surgical invasiveness on satisfaction in selected life domains of patients who underwent penile-sparing surgery and partial penectomy. Methods: Forty patients who underwent penile-sparing surgery (n=13) or partial penectomy (n=27) were enrolled in the study. The response rate was 71%. Information was obtained after surgery on sexuality, self-esteem, masculinity and partner relationships using the International Index of Erectile Function, the Self-Esteem Scale and the Conformity to Masculinity Norms Inventory questionnaires. We evaluated the effect of primary surgery type on selected domains of quality of life and correlations between study variables after surgery. Results: High self-esteem, satisfactory erectile function and masculinity results in both groups were comparable to those in the published literature. Men who underwent less disfiguring treatment had a significantly higher sense of masculinity than those who underwent partial penectomy (P=0.05). No significant differences were observed in erectile dysfunction and self-esteem. The level of aggressiveness of a surgical procedure was a predictor of sense of masculinity (P=0.01), but was not associated with self-esteem and sexual dysfunction (P=0.28 and P=0.55 respectively); 83% of patients were able to satisfactorily maintain partner relationships. Conclusions: Disfiguring treatments for penile cancer significantly interfere with the sense of masculinity, but sexual functioning and self-esteem do not differ according to the type of surgical procedure. Most men maintained stable partner relationships after surgery, regardless of surgery type.
机构:
Univ Coll London Hosp, Dept Urol, London, England
Queen Mary Univ London, Barts Canc Inst, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Arya, Manit
Li, Ruoran
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h-index: 0
机构:
London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1, EnglandUniv Coll London Hosp, Dept Urol, London, England
Li, Ruoran
Pegler, Kat
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h-index: 0
机构:
Off Natl Stat, Newport, WalesUniv Coll London Hosp, Dept Urol, London, England
Pegler, Kat
Sangar, Vijay
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h-index: 0
机构:
Christ Hosp, Manchester, Lancs, EnglandUniv Coll London Hosp, Dept Urol, London, England
Sangar, Vijay
Kelly, John D.
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h-index: 0
机构:
Univ Coll London Hosp, Dept Urol, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Kelly, John D.
Minhas, Suks
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h-index: 0
机构:
Univ Coll London Hosp, Dept Urol, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Minhas, Suks
Muneer, Asif
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h-index: 0
机构:
Univ Coll London Hosp, Dept Urol, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Muneer, Asif
Coleman, Michel P.
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h-index: 0
机构:
London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1, EnglandUniv Coll London Hosp, Dept Urol, London, England
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Barnholtz-Sloan, Jill S.
Maldonado, John L.
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h-index: 0
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Maldonado, John L.
Pow-sang, Julio
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机构:
H Lee Moffitt Canc Ctr & Res Inst, GU Oncol Program, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Pow-sang, Julio
Giuliano, Anna R.
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h-index: 0
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Barnholtz-Sloan, Jill S.
Maldonado, John L.
论文数: 0引用数: 0
h-index: 0
机构:H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Maldonado, John L.
Pow-Sang, Julio
论文数: 0引用数: 0
h-index: 0
机构:H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Pow-Sang, Julio
Guiliano, Anna R.
论文数: 0引用数: 0
h-index: 0
机构:H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
机构:
Leeds Metropolitan Univ, Ctr Mens Hlth, Leeds LS2 8NU, W Yorkshire, EnglandLeeds Metropolitan Univ, Ctr Mens Hlth, Leeds LS2 8NU, W Yorkshire, England
Witty, Karl
Eardley, Ian
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Pyrah Dept Urol, Leeds LS9 7TF, W Yorkshire, EnglandLeeds Metropolitan Univ, Ctr Mens Hlth, Leeds LS2 8NU, W Yorkshire, England
机构:
Univ Coll London Hosp, Dept Urol, London, England
Queen Mary Univ London, Barts Canc Inst, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Arya, Manit
Li, Ruoran
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1, EnglandUniv Coll London Hosp, Dept Urol, London, England
Li, Ruoran
Pegler, Kat
论文数: 0引用数: 0
h-index: 0
机构:
Off Natl Stat, Newport, WalesUniv Coll London Hosp, Dept Urol, London, England
Pegler, Kat
Sangar, Vijay
论文数: 0引用数: 0
h-index: 0
机构:
Christ Hosp, Manchester, Lancs, EnglandUniv Coll London Hosp, Dept Urol, London, England
Sangar, Vijay
Kelly, John D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Coll London Hosp, Dept Urol, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Kelly, John D.
Minhas, Suks
论文数: 0引用数: 0
h-index: 0
机构:
Univ Coll London Hosp, Dept Urol, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Minhas, Suks
Muneer, Asif
论文数: 0引用数: 0
h-index: 0
机构:
Univ Coll London Hosp, Dept Urol, London, EnglandUniv Coll London Hosp, Dept Urol, London, England
Muneer, Asif
Coleman, Michel P.
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Fac Epidemiol & Populat Hlth, London WC1, EnglandUniv Coll London Hosp, Dept Urol, London, England
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Barnholtz-Sloan, Jill S.
Maldonado, John L.
论文数: 0引用数: 0
h-index: 0
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Maldonado, John L.
Pow-sang, Julio
论文数: 0引用数: 0
h-index: 0
机构:
H Lee Moffitt Canc Ctr & Res Inst, GU Oncol Program, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Pow-sang, Julio
Giuliano, Anna R.
论文数: 0引用数: 0
h-index: 0
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
机构:
H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USAH Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Barnholtz-Sloan, Jill S.
Maldonado, John L.
论文数: 0引用数: 0
h-index: 0
机构:H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Maldonado, John L.
Pow-Sang, Julio
论文数: 0引用数: 0
h-index: 0
机构:H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
Pow-Sang, Julio
Guiliano, Anna R.
论文数: 0引用数: 0
h-index: 0
机构:H Lee Moffitt Canc Ctr & Res Inst, Div Canc Prevent & Control, Tampa, FL 33612 USA
机构:
Leeds Metropolitan Univ, Ctr Mens Hlth, Leeds LS2 8NU, W Yorkshire, EnglandLeeds Metropolitan Univ, Ctr Mens Hlth, Leeds LS2 8NU, W Yorkshire, England
Witty, Karl
Eardley, Ian
论文数: 0引用数: 0
h-index: 0
机构:
St James Univ Hosp, Pyrah Dept Urol, Leeds LS9 7TF, W Yorkshire, EnglandLeeds Metropolitan Univ, Ctr Mens Hlth, Leeds LS2 8NU, W Yorkshire, England