Urinary dysfunction troubles men who undergo prosta...(men six weeks after they underwent prost...),Health

Date:1/30/2008

men six weeks after they underwent prostatectomy. In addition to measuring participants physical function and assessing whether they had urinary and bowel symptoms and sexual dysfunction, the researchers also evaluated measures of self-confidence, social support and uncertainty about the disease and treatment. Most participants were white, married and employed full-time or retired, and most had some college education.

Fifty-seven percent of the men reported low to moderate social support, indicating that many of the topics proved embarrassing for them to discuss with others, Weber said. The level of social support was significantly related to urinary problems, revealing that men with urinary incontinence may need more support than those with more control.

Within the first 100 days of diagnosis, men may be so distressed and so focused on curing their cancer that they dont focus on these side effects, which is what makes it imperative for health-care professionals to educate them on ways that their lives will change and how they can cope, Weber said. Almost immediately after treatment, men may experience depression, awkwardness and emasculation, which will have a great effect on their quality of life.

Weber suggests that clinicians assess men and their support systems, identify changes in physical function that may occur as a result of treatment, and direct them to products and services designed to help them cope with the immediate effects of sexual dysfunction and urinary and bowel incontinence.

For example, Weber said numerous medications aim to ease sexual dysfunction, but many men may not realize the great expense associated with these drugs or be aware of their potential side effects. Similarly, a number of options for urinary incontinence exist, such as boxer shorts that are designed to hold urinary pads, lessening the embarrassment of having to wear such items.

Education and counseling should be provided to these me
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Contact: Tracy Brown Wright tracyb@nursing.ufl.edu 352-273-6421 University of Florida Source:Eurekalert

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