A Bio-psychosocial Sexual Health Intervention for Prostate Cancer Survivors and Partners: a Feasibility Study (BSHR)
Prostate Cancer, Erectile Dysfunction, Sexual Dysfunction
About this trial
This is an interventional supportive care trial for Prostate Cancer focused on measuring prostate cancer, radical prostatectomy, survivorship, quality of life, erectile dysfunction, sexual dysfunction, feasibility study
Eligibility Criteria
Inclusion Criteria:
- scheduled for a Radical Prostatectomy at the Princess Margaret Cancer Centre(open, laparoscopic, robotic) for the first-line treatment of prostate cancer regardless of clinical stage of disease
- are hormone and/or chemotherapy-naïve
- have a sexual partner (heterosexual or homosexual) for at least the past 6 months
- are 18 years of age or older
- Partners of men who meet the above criteria and are 18 years of age or older
Exclusion Criteria:
- the patient or partner lacks English proficiency
- the patient is on nitrate therapy or has other contra-indications to phosphodiesterase type 5 inhibitors (PDE5i's)
- the patient does not have a sexual partner
- the patient or partner has a medical condition that would preclude safe sexual activity
- the patient has had previous treatment for PC
- the patient has previously and regularly used sexual aids/devices during the course of sexual activity
Sites / Locations
- The Prostate Centre, Princess Margaret Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BSHR Intervention
Attention Control
Couples will attend 30-minute clinic consultations with an Urologist and a Sexual Health Counsellor and receive session-specific chapters of the Kindness, Intimacy, Sexuality and Satisfaction manual over the course of the intervention. The BSHR Intervention involves two complementary components; the bio-medical, and the psychosocial. The bio-medical component for both arms intervention includes an urologist consultation at a pre-operative appointment and 5 f/u appointments. Patients/partners are provided instruction on the use of pro-erectile agents/devices. The psychosocial component aims to support maintenance of intimacy, pro-erectile therapy use, and regular satisfying sexual activity. At each time point, participants receive sexual health counseling and manualized support.
Survivorship Counseling: Couples will attend 30-minute clinic consultations with an Urologist and a Survivorship Counsellor (SurvC) and receive a Kegel Exercise booklet and receive appointment-specific chapters of the Challenging Prostate Cancer: "Nutrition, Exercise, and You Manual". The bio-medical component is the same in both arms. The core topics discussed during over 7 counseling sessions include: preparation for immediate post-surgery recovery, Kegel exercises, nutrition and prostate cancer, exercise and prostate cancer, and maintaining healthy lifestyle change.