Kanserli erkek hastalarda cinsel sorunlar

Kanserli bireylerin cinsel fonksiyonu fiziksel, duygusal, sosyal, spiritüel ve kültürel birçok faktör arasındaki karmaşık etkileşim sonucu etkilenmektedir. Cinsel fonksiyondaki değişiklikler çeşitli nedenlerle hastalar tarafından sağlık profesyonellerine iletilmemekte ve sağlık profesyonelleri tarafından da değerlendirilmemektedir. Hastalara kanser ve tedavisi nedeniyle oluşabilecek cinsel fonksiyon değişiklikleri hakkında bilgi verilmesi ve oluşan cinsel sorunların çözümüne yönelik destek sağlanması hastaların bu süreci daha konforlu geçirmelerini sağlayacaktır. Tanı, tedavi ve bakım sürecinde hastalarla iletişim halinde olan sağlık profesyonelleri cinsel sorunların belirlenmesi ve yönetiminde etkin rol alabilirler. Bu derlemede kanserli erkek hastalarda kanser ve tedavisi nedeniyle ortaya çıkan cinsel sorunlar ele alınmıştır. Kanserli erkek hastalarla çalışan sağlık profesyonellerine cinsel sorunların nedenleri ile ilgili bütüncü bir bakış açısı sağlaması hedeflenmiştir.

Sexual problems among male patients with Cancer

The sexual function of individuals with cancer is affected by the complex interaction between physical, emotional, social, spiritual and cultural factors. Changes in sexual function are not reported to health professionals by patients due to various reasons and are not evaluated by the health professionals. Providing information about the changes in sexual function that may occur due to cancer and its treatment and providing support for the solution of the sexual problems that may occur will enable the patients to experience this process more comfortably. Health professionals who are in contact with patients in the diagnosis, treatment and care process can play an active role in the identification and management of sexual problems. In this review, sexual problems caused by cancer and its treatment among male patients with cancers are discussed. The review aims to provide a holistic perspective to health professionals working with male patients with cancer about the causes of sexual problems

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1. Malik S, Brandenburg D. Practical Tips & Advice for Overcoming Sexual Difficulties after Cancer & Cancer Treatments (Chapter 6). In: Brandenburg D, Grover L, Quinn B, editors. Intimacy & Sexuality for Cancer Patients and their Partners a Booklet of Tips & Ideas for your Journey of Recovery. 2005. p.37–80. http://www. newcastle-hospitals.org.uk/downloads/Cancer%20Services%20 Slides/Intimacy_and_Sexuality__For_Cancer_Patients_and_ their_Partners.pdf
2. Carter J, Lacchetti C, Andersen BL, Barton DL, Bolte S, Damast S, et al. Interventions to address sexual problems in people with cancer: American Society of Clinical Oncology clinical practice guideline adaptation of Cancer Care Ontario guideline. J Clin Oncol 2017;36:492–511. [CrossRef]
3. Çavdar İ. Meme kanserli hastalarda cinsel sorunlar. Meme Sağlığı Derg 2006;2(2):64–6.
4. Brandenburg D. Sex in Context: How the Rest of our Lives Influences Sexual Functioning. (Chapter 2). In: Brandenburg D, Grover L, Quinn B, editors.Intimacy & Sexuality for Cancer Patients and their Partners a Booklet of Tips & Ideas for your Journey of Recovery. 2005. p.8–13. http://www.newcastle-hospitals.org.uk/downloads/ Cancer%20Services%20Slides/Intimacy_and_Sexuality__For_ Cancer_Patients_and_their_Partners.pdf
5. Quinn B. Sexual Side Effects of Cancer Treatments and the Person Living with Cancer. (Chapter 4). In: Brandenburg D, Grover L, Quinn B, editors.Intimacy & Sexuality for Cancer Patients and their Partners a Booklet of Tips & Ideas for your Journey of Recovery. 2005. p.22–36. http://www.newcastle-hospitals.org. uk/downloads/Cancer%20Services%20Slides/Intimacy_and_ Sexuality__For_Cancer_Patients_and_their_Partners.pdf
6. Barbera L, Zwaal C, Elterman D, McPherson K, Wolfman W, Katz A, Matthew A. Interventions to address sexual problems in people with cancer. Curr Oncol 2017;24:192–200. [CrossRef]
7. Brandenburg D. The Sexual Response Cycle and Cancer. (Chapter 3). In: Brandenburg D, Grover L, Quinn B, editors.Intimacy & Sexuality for Cancer Patients and their Partners a Booklet of Tips & Ideas for your Journey of Recovery. 2005. p.14–21. http://www. newcastle-hospitals.org.uk/downloads/Cancer%20Services%20 Slides/Intimacy_and_Sexuality__For_Cancer_Patients_and_ their_Partners.pdf
8. Reis N. Jinekolojik kanser ve tedavisinin kadın cinsel sağlığına etkileri. C. Ü. Hemşirelik Yüksek Okulu Derg 2003;7:35–40. http://eskidergi.cumhuriyet.edu.tr/makale/629.pdf
9. Herbenick D, Reece M, Hollub A, Satinsky S, Dodge B. Young female breast cancer survivors: their sexual function and interest in sexual enhancement products and services. Cancer Nurs 2008;31:417–25. [CrossRef]
10. Kirby R, Watson A, Newling D. Prostate cancer and sexual functioning. Prostate Cancer Prostatic Dis 1998;1:179–84. [CrossRef]
11. Quinn B. Sexual health in cancer care. Nurs Times 2003;99:32–4.
12. Krebs LU. Sexual and reproductive dysfunction. In: Yarbro CH, Wujic D, Goebel BH, editors. Cancer Nursing, 7th ed. Sudbury, MA: Jones and Bartlett Publishers; 2011. pp.879–911,.
13. Dizon DS, Suzin D, McIlvenna S. Sexual health as a survivorship issue for female cancer survivors. Oncologist 2014;19:202–10. [CrossRef]
14. Olsson C, Berglund AL, Larsson M, Athlin E. Patient’s sexuality-A neglected area of cancer nursing? Eur J Oncol Nurs 2012;16:426– 31. [CrossRef]
15. McGrath PD. The impact on sexuality after diagnosis and treatment for a hematologic malignancy: findings from Australia. Oncol Nurs Forum 2012;39:595–600. [CrossRef]
16. Steentjes L, Siesling S, Drummond FJ, van Manen JG, Sharp L, Gavin A. Factors associated with current and severe physical sideeffects after prostate cancer treatment: What men report. Eur J Cancer Care (Engl) 2018;27:e12589. [CrossRef]
17. van den Bergh RC, Korfage IJ, Roobol MJ, Bangma CH, de Koning HJ, Steyerberg EW, Essink-Bot ML. Sexual function with localized prostate cancer: active surveillance vs radical therapy. BJU Int 2012;110:1032–9. [CrossRef]
18. Carter J, Lacchetti C, Andersen BL, Barton DL, Bolte S, Damast S, et al. Interventions to address sexual problems in people with cancer: American Society of Clinical Oncology clinical practice guideline adaptation of Cancer Care Ontario guideline. J Clin Oncol 2017;36:492–511. [CrossRef]
19. Walker LM, Santos-Iglesias P, Robinson J. Mood, sexuality, and relational intimacy after starting androgen deprivation therapy: implications for couples. Support Care Cancer 2018;26:3835–42. [CrossRef]
20. Talcott JA, Rieker P, Propert KJ, Clark JA, Kantoff PW, Wishnow KI, et al. Patient-reported impotence and incontinence after nervesparing radical prostatectomy. J Natl Cancer Inst 1997;89:1117– 23. [CrossRef]
21. Olsson C, Sandin-Bojö A, Bjuresäter K, Larsson M. Patients treated for hematologic malignancies: affected sexuality and health-related quality of life. Cancer Nurs 2015;38:99–110. [CrossRef]
22. Fokdal L, Høyer M, Meldgaard P, von der Maase H. Long-term bladder, colorectal, and sexual functions after radical radiotherapy for urinary bladder cancer. Radiother Oncol 2004;72:139–45. [CrossRef]
23. Gacci M, Baldi E, Tamburrino L, Detti B, Livi L, De Nunzio C, et al. Quality of life and sexual health in the aging of PCa survivors. Int J Endocrinol 2014;2014:470592. [CrossRef]
24. Özbey İ. Kemoterapi ve erkek infertilitesi. Androloji Bülteni 2011;45:123–27. http://file.lookus.net/androlojibulteni/ Haziran-2011-45.Say%C4%B1.pdf
25. Jonker-Pool G, Hoekstra HJ, van Imhoff GW, Sonneveld DJA, Sleijfer DT, van Driel MF, et al. Male sexuality after cancer treatment —needs for information and support: testicular cancer compared to malignant lymphoma. Patient Educ Counsel 2004;52:143–50. [CrossRef]
26. Noyan MA. Mesane kanseri hastasına psikiyatrik yaklaşım ilkeleri ve üroonkologlara öneriler. Psikoonkoloji 2012;11:305–10.
27. Jayne DG, Brown JM, Thorpe H, Walker J, Quirke P, Guillou PJ. Bladder and sexual function following resection for rectal cancer in a randomized clinical trial of laparoscopic versus open technique. Br J Surg 2005;92:1124–32. [CrossRef]
28. Colombo R, Bertini R, Salonia A, Naspro R, Ghezzi M, Mazzoccoli B, et al. Overall clinical outcomes after nerve and seminal sparing radical cystectomy for the treatment of organ confined bladder cancer. J Urol 2004;171:1819–22. [CrossRef]
29. Asoglu O, Matlim T, Karanlik H, Atar M, Muslumanoglu M, Kapran Y, et al. Impact of laparoscopic surgery on bladder and sexual function after total mesorectal excision for rectal cancer. Surg Endosc 2009;23:296–303. [CrossRef]
30. Hendren SK, O’Connor BI, Liu M, Asano T, Cohen Z, Swallow CJ, et al. Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer. Ann Surg 2005:242:212–23. [CrossRef]
31. Tiryaki A, Özkorumak E, Civil Aslan F, Yavuz AA. Remisyonda testis kanseri hastalarında cinsel doyum ve yaşam kalitesi. Anadolu Psikiyatri Derg 2009;10:233–8. https://docplayer.biz. tr/14505666-Remisyonda-testis-kanseri-hastalarinda-cinseldoyum-ve-yasam-kalitesi.html
32. Traa MJ, De Vries J, Roukema JA, Den Oudsten BL. Sexual (dys) function and the quality of sexual life in patients with colorectal cancer: a systematic review. Ann Oncol 2011;23:19–27. [CrossRef]
33. Crook J, Esche B, Futter N. Effect of pelvic radiotherapy for prostate cancer on bowel, bladder, and sexual function: the patient’s perspective. Urology 1996;47:387–94. [CrossRef]
34. Havenga K, Maas CP, DeRuiter MC, Welvaart K, Trimbos JB. Avoiding long‐term disturbance to bladder and sexual function in pelvic surgery, particularly with rectal cancer. Semin Surg Oncol 2000:18:235–43. [CrossRef]
35. Greaves P, Sarker SJ, Chowdhury K, Johnson R, Matthews J, Matthews R, et al. Fertility and sexual function in long-term survivors of haematological malignancy: using patient-reported outcome measures to assess a neglected area of need in the late effects clinic. Br J Haematol 2014;164:526–35. [CrossRef]
36. Sprangers MAG, Taal BG, Aaronson NK, te Velde A. Quality of life in colorectal cancer. Dis Colon Rectum 1995;38:361–9. [CrossRef]
37. Kocaman Yıldırım N, Kaçmaz N, Özkan M. İleri evre kanser hastalarının karşılanmamış bakım gereksinimleri. Psikiyatri Hemşireliği Derg 2013;4:153–8. [CrossRef]
38. Olsson C, Sandin-Bojö AK, Bjuresäter K, Larsson M. Changes in sexuality, body image and health related quality of life in patients treated for hematologic malignancies: A longitudinal study. Sex Disabil 2016;34:367–88. [CrossRef]
39. Melissant HC, Jansen F, Schutte LER, Lissenberg-Witte BI, Buter J, Leemans CR, et al. The course of sexual interest and enjoyment in head and neck cancer patients treated with primary (chemo) radiotherapy. Oral Oncol 2018;83:120–6. [CrossRef]
40. Tuğut N, Gölbaşı Z. Cinselliğin değerlendirilmesinde PLISSIT modeli’nin kullanımı. Gümüşhane Üniversitesi Sağlık Bilimleri Derg 2013;2(3):524–34. https://dergipark.org.tr/tr/download/ article-file/84260
41. Duldt BW, Pokorny ME. Teaching communication about human sexuality to nurses and other healtcare providers. Nurs Educ 1999;24:27–32. [CrossRef]
42. Pühse G, Wachsmuth JU, Kemper S, Husstedt IW, Evers S, Kliesch S. Chronic pain has a negative impact on sexuality in testis cancer survivors. J Andrology 2012;33:886–93. [CrossRef]
43. Can G. Kanserde cinsel sağlık. Androloji Bülteni 2004;19:355–6. http://file.lookus.net/androlojibulteni/Kas%C4%B1m-2004-19. Say%C4%B1.pdf