sildenafil-citrate and Urinary-Incontinence

This exploratory study examines the experience of three gay couples managing sexual dysfunction as a result of undergoing a radical prostatectomy. Semi-structured interviews were conducted as part of a larger study at an urban hospital in Toronto, Ontario, Canada. Interview transcripts were transcribed verbatim, and analyzed using interpretative phenomenological analysis. The authors clustered 18 subordinate themes under 3 superordinate themes: (a) acknowledging change in sexual experience (libido, erectile function, sexual activity, orgasmic function); (b) accommodating change in sexual experience (strategies: emphasizing intimacy, embracing plan B, focus on the other; barriers: side-effect concerns, loss of naturalness, communication breakdown, failure to initiate, trial and failure, partner confounds); and (c) accepting change in sexual experience (indicators: emphasizing health, age attributions, finding a new normal; barriers: uncertain outcomes, treatment regrets). Although gay couples and heterosexual couples share many similar challenges, we discovered that gay men have particular sexual roles and can engage in novel accommodation practices, such as open relationships, that have not been noted in heterosexual couples. All couples, regardless of their level of sexual functioning, highlighted the need for more extensive programming related to sexual rehabilitation. Equitable rehabilitative support is critical to assist homosexual couples manage distress associated with prostatectomy-related sexual dysfunction.

Topics: Adaptation, Psychological; Adult; Communication; Erectile Dysfunction; Gender Identity; Homosexuality, Male; Humans; Interpersonal Relations; Interview, Psychological; Libido; Male; Middle Aged; Orgasm; Penile Prosthesis; Piperazines; Postoperative Complications; Prostatectomy; Purines; Sexual Behavior; Sexual Dysfunction, Physiological; Sildenafil Citrate; Sulfones; Urinary Incontinence

We emphasize the good results obtained by authors of the United States of North America and Europe using prostate brachytherapy in the treatment of localized prostate cancer.. We report 50 patients with stage T1c-T2c treated during the last twenty one months (September 2000, June 2001). Two groups were made--according to Gleason, PSA, local infiltration and percentage of tumor volume in the Biopsy--in low and high risk patients. We report the methodology used in the surgical procedure.. We found the nadir of PSA was 0.5-1 in seven patients followed during eighteen months, and fifteen patients followed during twelve months. We had a failure in two patients. A reference is made about two patients with previously TURP and one with open prostatectomy, with very good post-operative results. Secondary effects are essentially irritative symptoms, well controlled by medical treatment. Four patients had acute urinary retention, one of them persistent. Normal erections were found in thirty five patients, and partial in fifteen, which had a very good respond to Sildenafil. Four cases had partial incontinence, currently only one persist during sleep.. We have had very good results during the first twenty one months of treatment of cancer of the prostate with brachytherapy. In our opinion the procedure is a very valid option of treatment for this disease.

Topics: Adenocarcinoma; Aged; Aged, 80 and over; Antigens, Neoplasm; Biomarkers, Tumor; Brachytherapy; Combined Modality Therapy; Disease-Free Survival; Erectile Dysfunction; Hematuria; Humans; Iodine Radioisotopes; Male; Middle Aged; Piperazines; Prospective Studies; Prostate-Specific Antigen; Prostatectomy; Prostatic Neoplasms; Purines; Radiopharmaceuticals; Remission Induction; Sildenafil Citrate; Sulfones; Transurethral Resection of Prostate; Treatment Outcome; Urinary Incontinence; Urination Disorders; Vasodilator Agents

Topics: Erectile Dysfunction; Humans; Male; Patient Education as Topic; Piperazines; Prostatic Neoplasms; Purines; Quality of Life; Sildenafil Citrate; Sulfones; Urinary Incontinence