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Everyday life after a radical prostatectomy – A qualitative study of men under 65 years of age

Wennick, Anne LU ; Jönsson, Ann Kristin; Bratt, Ola LU and Stenzelius, Karin LU (2017) In European Journal of Oncology Nursing 30. p.107-112
Abstract

Purpose The purpose of this study was to illuminate how men under 65 years of age experience their everyday Life one year or more after a radical prostatectomy for localised prostate cancer. Method Interviews with 19 men aged under 65 were performed 12–18 months after their radical prostatectomy. The interviews were analysed using a thematic content analysis. Results The analysis of the interviews revealed three categories of experiences: ‘Paying a price for survival’, ‘Feeling sidestepped’ and ‘Living with death lurking around the corner’. The side effects of the prostatectomy, such as sexual dysfunction, resulted in a changed self-image with a loss of manliness and reduced self-esteem. The men felt sidestepped and that they did not... (More)

Purpose The purpose of this study was to illuminate how men under 65 years of age experience their everyday Life one year or more after a radical prostatectomy for localised prostate cancer. Method Interviews with 19 men aged under 65 were performed 12–18 months after their radical prostatectomy. The interviews were analysed using a thematic content analysis. Results The analysis of the interviews revealed three categories of experiences: ‘Paying a price for survival’, ‘Feeling sidestepped’ and ‘Living with death lurking around the corner’. The side effects of the prostatectomy, such as sexual dysfunction, resulted in a changed self-image with a loss of manliness and reduced self-esteem. The men felt sidestepped and that they did not receive enough support. Prostate cancer was experienced as an embarrassing disease and the men felt their fundamental needs could not be openly discussed. Having cancer was associated with death. Thoughts about death faded away during recovery after the operation, but grew stronger in certain situations and reminded the men about their cancer. Returning to work and to previous activities helped them cope with the thoughts about death. Conclusions Our study suggests a need for improved rehabilitation after a radical prostatectomy, including more structured sexual rehabilitation, and involving the partner. Sharing the experiences of other men who have undergone prostate cancer surgery may also be beneficial.

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author
organization
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type
Contribution to journal
publication status
published
subject
keywords
Coping, Daily life, Interview, Prostate neoplasm, Qualitative research, Quality of life, Radical prostatectomy
in
European Journal of Oncology Nursing
volume
30
pages
6 pages
publisher
Elsevier
external identifiers
  • scopus:85028976157
  • wos:000414816000016
ISSN
1462-3889
DOI
10.1016/j.ejon.2017.08.008
language
English
LU publication?
yes
id
1838f398-1b10-48e2-b06c-913c842c7565
date added to LUP
2017-09-26 08:42:21
date last changed
2018-01-16 13:26:30
@article{1838f398-1b10-48e2-b06c-913c842c7565,
  abstract     = {<p>Purpose The purpose of this study was to illuminate how men under 65 years of age experience their everyday Life one year or more after a radical prostatectomy for localised prostate cancer. Method Interviews with 19 men aged under 65 were performed 12–18 months after their radical prostatectomy. The interviews were analysed using a thematic content analysis. Results The analysis of the interviews revealed three categories of experiences: ‘Paying a price for survival’, ‘Feeling sidestepped’ and ‘Living with death lurking around the corner’. The side effects of the prostatectomy, such as sexual dysfunction, resulted in a changed self-image with a loss of manliness and reduced self-esteem. The men felt sidestepped and that they did not receive enough support. Prostate cancer was experienced as an embarrassing disease and the men felt their fundamental needs could not be openly discussed. Having cancer was associated with death. Thoughts about death faded away during recovery after the operation, but grew stronger in certain situations and reminded the men about their cancer. Returning to work and to previous activities helped them cope with the thoughts about death. Conclusions Our study suggests a need for improved rehabilitation after a radical prostatectomy, including more structured sexual rehabilitation, and involving the partner. Sharing the experiences of other men who have undergone prostate cancer surgery may also be beneficial.</p>},
  author       = {Wennick, Anne and Jönsson, Ann Kristin and Bratt, Ola and Stenzelius, Karin},
  issn         = {1462-3889},
  keyword      = {Coping,Daily life,Interview,Prostate neoplasm,Qualitative research,Quality of life,Radical prostatectomy},
  language     = {eng},
  month        = {10},
  pages        = {107--112},
  publisher    = {Elsevier},
  series       = {European Journal of Oncology Nursing},
  title        = {Everyday life after a radical prostatectomy – A qualitative study of men under 65 years of age},
  url          = {http://dx.doi.org/10.1016/j.ejon.2017.08.008},
  volume       = {30},
  year         = {2017},
}