This article addresses sexual aspects of two related HCP-roles in the period between a diagnosis of prostate cancer (PC) and the start of treatment. First, the ‘lovemap-perspective’ is used to fine-tune the process of shared decision making. Then sexual prehabilitation is explored in detail, in the belief that better sexual function before starting treatment is more likely to lead to better post-treatment outcomes. Recommendations will be shared on further development of sexual prehabilitation approaches.
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Frey A, Pedersen C, Lindberg H, Bisbjerg R, Sønksen J, Fode M. Prevalence and predicting factors for commonly neglected sexual side effects to external-beam radiation therapy for prostate cancer. J Sex Med. 2017;14:558–65.
Sullivan JF, Stember DS, Deveci S, Akin-Olugbade Y, Mulhall JP. Ejaculation profiles of men following radiation therapy for prostate cancer. J Sex Med. 2013;10:1410–6.
Fode M, Serefoglu EC, Albersen M, Sønksen J. Sexuality following radical prostatectomy: is restoration of erectile function enough? Sex Med Rev. 2017;5:110–9.
Joh DY, Chen LN, Porter G, Bhagat A, Sood S, Kim JS, et al. Proctitis following stereotactic body radiation therapy for prostate cancer. Radiat Oncol. 2014;9:277.
Krol R, Smeenk RJ, van Lin EN, Yeoh EE, Hopman WP. Systematic review: anal and rectal changes after radiotherapy for prostate cancer. Int J Colorectal Dis. 2014;29:273–83.
Nasser NJ, Cohen GN, Dauer LT, Zelefsky MJ. Radiation safety of receptive anal intercourse with prostate cancer patients treated with low-dose-rate brachytherapy. Brachytherapy. 2016;15:420–5.
Levin RJ. Prostate-induced orgasms: a concise review illustrated with a highly relevant case study. Clin Anat. 2018;31:81–5.
Finney G, Haynes AM, Cross P, Brenner P, Boyn A, Stricker P. Cross-sectional analysis of sexual function after prostate brachytherapy. Urology. 2005;66:377–81.
Hess KL, DiNenno E, Sionean C, Ivy W, Paz-Bailey G, NHBS Study Group. Prevalence and correlates of heterosexual anal intercourse among men and women, 20 US cities. AIDS Behav. 2016;20:2966–75.
Mulhall JP. Saving your sex life. A guide for men with prostate cancer. Potomac: C-I-Act; 2010.
Silver JK, Baima J. Cancer prehabilitation: an opportunity to decrease treatment-related morbidity, increase cancer treatment options, and improve physical and psychological health outcomes. Am J Phys Med Rehabil. 2013;92:715–27.
MacDonald R, Fink HA, Huckabay C, Monga M, Wilt TJ. Pelvic floor muscle training to improve urinary incontinence after radical prostatectomy: a systematic review of effectiveness. BJU Int. 2007;100:76–81.
Milios JE, Ackland TR, Green DJ. Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence. BMC Urol. 2019;19:116.
Tsimopoulou I, Pasquali S, Howard R, Desai A, Gourevitch D, Tolosa I, et al. Psychological prehabilitation before cancer surgery: a systematic review. Ann Surg Oncol. 2015;22:4117–23.
Cohen L, Parker PA, Vence L, Savary C, Kentor D, Pettaway C, et al. Presurgical stress management improves postoperative immune function in men with prostate cancer undergoing radical prostatectomy. Psychosom Med. 2011;73:218–25.
Alemozaffar M, Regan MM, Cooperberg MR, Wei JT, Michalski JM, Sandler HM, et al. Prediction of erectile function following treatment for prostate cancer. JAMA. 2011;306:1205–14.
Kirby MG, White ID, Butcher J, Challacombe B, Coe J, Grover L, et al. Development of UK recommendations on treatment for post-surgical erectile dysfunction. Int J Clin Pr. 2014;68:590–608.
Osadchiy V, Eleswarapu SV, Mills SA, Pollard ME, Reiter RE, Mills JN. Efficacy of a preprostatectomy multi-modal penile rehabilitation regimen on recovery of postoperative erectile function. Int J Impot Res. 2020;32:323–8.
Paterson C, Primeau C, Pullar I, Nabi G. Development of a prehabilitation multimodal supportive care interventions for men and their partners before radical prostatectomy for localized prostate cancer. Cancer Nurs. 2019;42:E47–53.
Ussher JM, Perz J, Gilbert E, Wong WK, Hobbs K. Renegotiating sex and intimacy after cancer: resisting the coital imperative. Cancer Nurs. 2013;36:454–62.
Kukula KC, Jackowich RA, Wassersug RJ. Eroticization as a factor influencing erectile dysfunction treatment effectiveness. Int J Impot Res. 2014;26:1–6.
Kleinplatz PJ, Charest M, Paradis N, Ellis M, Rosen L, Ménard AD, et al. Treatment of low sexual desire or frequency using a sexual enhancement group couples therapy approach. J Sex Med. 2020;17:1288–96.
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Gianotten, W.L. Sexual aspects of shared decision making and prehabilitation in men diagnosed with prostate cancer. Int J Impot Res 33, 397–400 (2021). https://doi.org/10.1038/s41443-020-00404-5