TY - JOUR
T1 - The effects of radical prostatectomy on gay and bisexual men's mental health, sexual identity and relationships
T2 - qualitative results from the restore study
AU - Rosser, B. R.Simon
AU - Capistrant, Benjamin
AU - Torres, Beatriz
AU - Konety, Badrinath
AU - Merengwa, Enyinnaya
AU - Mitteldorf, Darryl
AU - West, William
N1 - Publisher Copyright:
© 2016 College of Sexual and Relationship Therapists.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - The effect of prostate cancer treatment in gay and bisexual men is an under-researched area. In 2015, we conducted in-depth telephone interviews with 19 gay and bisexual men who had undergone radical prostatectomies. Across the respondents’ five emotional themes emerged: (1) shock at the diagnosis, (2) a reactive, self-reported “depression”, (3) sex-specific situational anxiety, (4) a sense of grief, and, (5) an enduring loss of sexual confidence. Identity challenges included loss of a sense of maleness and manhood, changes in strength of sexual orientation, role-in-sex identity, and immersion into sexual sub-cultures. Relationship challenges identified included disclosing the sexual effects of treatment to partners, loss of partners, and re-negotiation of sexual exclusivity. Most to all of these effects stem from sexual changes. To mitigate these negative effects of radical prostatectomy, and to address health disparities n outcomes observed in gay and bisexual men, all these challenges need to be considered in any tailored rehabilitation program for gay and bisexual men.
AB - The effect of prostate cancer treatment in gay and bisexual men is an under-researched area. In 2015, we conducted in-depth telephone interviews with 19 gay and bisexual men who had undergone radical prostatectomies. Across the respondents’ five emotional themes emerged: (1) shock at the diagnosis, (2) a reactive, self-reported “depression”, (3) sex-specific situational anxiety, (4) a sense of grief, and, (5) an enduring loss of sexual confidence. Identity challenges included loss of a sense of maleness and manhood, changes in strength of sexual orientation, role-in-sex identity, and immersion into sexual sub-cultures. Relationship challenges identified included disclosing the sexual effects of treatment to partners, loss of partners, and re-negotiation of sexual exclusivity. Most to all of these effects stem from sexual changes. To mitigate these negative effects of radical prostatectomy, and to address health disparities n outcomes observed in gay and bisexual men, all these challenges need to be considered in any tailored rehabilitation program for gay and bisexual men.
KW - Erectile dysfunction
KW - orgasm
KW - psychiatric treatment
KW - relationship factors
KW - sexual orientation
UR - http://www.scopus.com/inward/record.url?scp=84986199038&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84986199038&partnerID=8YFLogxK
U2 - 10.1080/14681994.2016.1228871
DO - 10.1080/14681994.2016.1228871
M3 - Article
C2 - 27942251
AN - SCOPUS:84986199038
SN - 1468-1994
VL - 31
SP - 446
EP - 461
JO - Sexual and Relationship Therapy
JF - Sexual and Relationship Therapy
IS - 4
ER -