Preference for Sexual Function Preservation Not Always Reflected in Treatment Choices, Study Finds

Preference for Sexual Function Preservation Not Always Reflected in Treatment Choices, Study Finds
While preserving sexual function was one of the most important factors for many men undergoing prostate cancer (PC) treatment, this preference was not reflected in the treatments chosen by men with low-risk PC, a new research study found. The study detailing this finding, “Prostate Cancer Patient Characteristics Associated With a Strong Preference to Preserve Sexual Function and Receipt of Active Surveillance,” was published in the Journal of the National Cancer Institute. Men with early-stage prostate cancer have multiple options with similar benefit, but that vary in terms of how it affects their quality of life. While active surveillance is the best option for preserving sexual function, it is not clear if a patient's preference is affecting treatment selection. To address this matter, researchers at the University of North Carolina Lineberger Comprehensive Cancer Center conducted a survey of nearly 1,200 prostate cancer patients in North Carolina. The team found that more than half (52.6 percent) indicated that preserving sexual function was “very important.” However, this preference was not reflected in the treatment choices made by men with low-risk PC, researchers reported, which could indicate that patients might have been insufficiently informed about their options. Of the 568 men identified in the survey as having low-risk PC, 43.4 percent received active surveillance. The approach consists on regul
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  1. Lawrence Glickman says:

    The assumption that men who are not choosing “Active Surveillance” are not “Aware” of this option is simply not true. Any man with elevated PSA leading to a cancer diagnosis is always offered options by his general practitioner, oncologist or surgeon. The reason they often do not choose that option is because they have opted for more aggressive and possibly curative procedures. These days there are also a wide variety of less invasive treatment options that have high rates of sexual potency retention.

    • Michael J White says:

      Rubbish.Patients are treated like ignorant children and doctors more often than not state the risks of ED are 50/50 that is palpable rubbish and often doctors are very laconic and offer radical prostatectomy and radiation without differentiating the different radiation options. Few doctors are familiar with focal therapy such as HIFU and patients suitability.Nor have the knowledge of focal cryoablation that has a small ED risk whereas full cryosurgery is almost 100%ED resulting from full cryosurgery. Doctors are condescending and arrogant and are not fully aware of the percentages associated with different treatments.Also each patient will have different libido and ED functionality prior to any treatment that will affect any outcome.

  2. Burton Busching says:

    wish I had known more history (like this article) when I was offered options , But one can always stop active treatments at any time in the process !

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