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Everyday life after a radical prostatectomy: A qualitative study of men under 65 years of age
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0002-8684-2537
Helsingborg Hospital, Department of Urology, Helsingborg, Sweden.
Department of Translational Medicine, Division of Urological Cancers, Lund University, Sweden.
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV). Skåne University Hospital, Department of Urology, Malmö, Sweden.
2017 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 30, p. 107-112Article in journal (Refereed)
Abstract [en]

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. (C) 2017 Published by Elsevier Ltd.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 30, p. 107-112
Keywords [en]
Prostate neoplasm, Radical prostatectomy, Qualitative research, Interview, Quality of life, Daily life, Coping
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-14893DOI: 10.1016/j.ejon.2017.08.008ISI: 000414816000016PubMedID: 29031306Scopus ID: 2-s2.0-85028976157Local ID: 25534OAI: oai:DiVA.org:mau-14893DiVA, id: diva2:1418414
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-06-18Bibliographically approved

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Wennick, AnneStenzelius, Karin

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