%0 Journal Article
%T Prostate cancer multimodal therapy involvement in couple life: Open, Robotic and HIFU approach
%A Elisabeta Ioana Hiri£¿c£¿u
%A Doina Cosman
%A Ioan Coman
%J Human & Veterinary Medicine
%D 2010
%I Bioflux Society
%X The diagnosis and treatment of prostate cancer often results in significant physical side-effectsand associated psycho-social stressors that can interfere with the experience of sexual intimacy forcouples. Our study aims to evaluate couple¡¯s sexual life and to determine any potential sexual dynamicdysfunctions which could occur before and after performing classic, robotic and HIFU radicalprostatectomy as a radical therapy in prostate cancer. The present article aims at the synopticpresentation of results of a statistic research done by the author regarding the factors that influencecouple¡¯s sex life, and also at the identification of potential dynamic disorder that could come up before aradical prostatectomy (disorders that influence the sexual prognostic following the intervention). Materialand method: the research involved 28 couples (56 individuals) and was conducted in The Municipal Clinicand in The Endoplus Clinic in Cluj-Napoca. The initial evaluation aimed to identify sexual dynamicdysfunctions before the intervention. The couples filled in an interview sheet before the intervention andwere informed about the immediate and long term effects of the intervention and of existing therapeuticsolutions. The confidentiality of interview answers has been insured and the interviews have beencollected and sealed the day of the intervention. The structure of the interview is based on the BASIC IDgrid proposed by Lazarus in 1973 which aims to establish a therapeutic action profile which would allow amultimodal intervention. All patients underwent the prostate cancer intervention as follows: 10 patientsunderwent open surgery, 9 patients robotic surgery and 9 patients HIFU therapy. Results: Each partnerof the couple was reevaluated two months after the radical therapy. The main goal of evaluating thesexual behavior was to obtain valid information in order to make the optimal therapeutic decision. Thepartner¡¯s answer frequency for both pre and postoperator of each item of the questionnaire wascalculated. The frequencies were then comparatively analyzed according to our study¡¯s goals. Ourresearch team¡¯s contribution is the individualization of the grid on the respective pathology. Conclusions:The preservation of sexual intimacy is an important issue to consider, as the majority of older adultscontinue to value, engage in, and enjoy sexual activity throughout their lives. Bringing into being anorganized and individualized questionnaire is an important informative and predictive tool for outliningthe profile of the sexual life of a couple and also for making the p
%K radical prostatectomy
%K couple profile
%K sexuality
%K qualitative research
%U http://www.hvm.bioflux.com.ro/docs/2010.2.82-91.pdf