University of Washington/Fred Hutchinson Cancer Research Center, Seattle, WA
Celestia S. Higano , Christine Zarowski , Marcy Dayan , Phil Pollock , Stacy Elliott , Monita Sundar , Sarah Mahovlich , Larry Goldenberg
Background: The Vancouver Prostate Centre established the PCSC in January 2013 to provide education (ED) and clinic (CLIN) services to men with prostate cancer and their partners. The program includes a dedicated sexual health clinician and physiotherapist with expertise in male pelvic floor anatomy and physiology. These services are available to patients (pts) without charge. We examined the use of the SH and PT services in the PCSC to better understand how the services are utilized. Methods: Pts who are newly diagnosed or within 6 months of surgery or radiation are offered a group ED session that focuses on sexual side effects of therapy and sexual rehabilitation. All pts/couples are eligible to meet for clinic appointments with the SH RN. Couples evaluated in the SH clinic are invited to attend quarterly Intimacy Workshops (IW). Pts who are about to undergo surgery or who have postoperative incontinence are offered attendance at a group ED session that explains the anatomy and techniques for minimizing urinary symptoms. Pts may also attend up to 3 visits with the PT clinician. We gathered data from PCSC logs, clinic schedules, and pt records to assess utilization of SH and PT services. Results: SH and PT ED sessions and CLIN were initiated in July and October 2013 respectively. 479 of 741 (65%) pts, median age 65 (42-92), participated in SH and 227 pts (37%), median age 66 (42-88), in PT modules respectively. 90% of pts in each module had had surgery; 10% were on ADT. Details of utilization of ED and CLIN components from both modules are shown below. There was a total of 1011 SH and 434 PT clinic visits. 38% of pts who were seen by SH were also seen by PT and 66% of those seen in PT were seen in SH. Conclusions: Sexual dysfunction and urinary incontinence can be significant problems, and often occur together. Compared to other optional services available in PCSC, SH and PT are the most utilized. Lack of qualified clinicians with expertise in these areas should be addressed.
# pts attending | SH | PT |
---|---|---|
ED | 62 | 89 |
ED+CLIN | 125 | 103 |
CLIN | 292 | 85 |
IW | 46* | -- |
Total | 479 | 277 |
*couples
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