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MMore than 4 out of 5 men (81%) with prostate cancer have a bad badual function after treatment, but more than half (56%) do not receive any support, according to a new study.
the Oncology Lancet research, co-directed by
the University of Leeds revealed that badual problems were common among men
diagnosed prostate cancer regardless of the stage of their disease, their
treatment, or their age.
However, more than half of men over 65 (61%)
no support for erection problems, compared to younger men under
aged 55 – only about one-fifth (22%) did not receive support.
Erectile
dysfunction is a known side effect of treating prostate cancer.
following
prostate cancer in the United Kingdom and the Movember Foundation, both of which
funded research, have raised concerns that too many men end up with
insufficient support to cope with the impact of treatment.
Charities
invite men to have the confidence to talk about their side effects
without embarrbadment, and to health professionals to proactively discuss
badual problems after treatment and report them to the appropriate support
they need.
The study, called
Life after the prostate
Cancer diagnosis, is the largest country in the world ever reported
study of the results for the disease. More than 30,000 men across the UK and
brought together researchers from the University of Leeds, Queen's University
Belfast, University of Southampton, Oxford Brookes University and Public Health
England.
Men were invited
on their quality of life and life experiences with prostate cancer 18-42
months after diagnosis, side effects of treatment with
psychological impact of life with the disease.
"Far too many men like me who benefit from medical procedures and treatments for prostate cancer nevertheless suffer from significant "late effects" of their experience over the months and years."
Main conclusions
of the report include:
· Poor
badual function was most often reported by men on hormone therapy
(94%) and surgery (84%), 79% of men undergoing radiotherapy also reported
bad badual function.
· Although
81% of men who had undergone surgery received support, which fell to a little more than
one third (35%) in men treated with radiotherapy.
· Men
diagnosed with cancer that has not spread beyond the prostate, usually reported
a good quality of life 18 to 42 months after prostate cancer
diagnostic. However, poor badual function remained a significant problem for 75%
of these men.
Heather Blake, Director
UK: "For some men, it can be difficult
months before erection problems occur after their
treatment, especially if they have received radiation therapy. At this stage followed
appointments may have been reduced and many fewer opportunities to get up
effects of problems.
"As a result, too
many men are abandoned without any support for badual problems – with
Older men in particular are lacking.
"These results are not
emphasize just how important it is for all men to speak honestly about their
side effects, it's just as important to all health professionals
men for prostate cancer to incorporate support for erection problems in post-treatment
follow-up plans. "
Senior mixed
Professor Adam Glaser, from the University of Leeds, said: "Men who live
with and beyond a prostate cancer diagnosis across the UK were found at
to be incredibly resilient in our follow-up a few years after the diagnosis.
"In general
report a very good quality of life related to health, with a quarter of these
with an advanced disease also signaling a general state of health similar to that which would be
waited others of their age without advanced cancer. However, this could
to be potentially improved if badual problems and dysfunction could be resolved.
either prevented or treated proactively. "
Better support is needed
Hugh Butcher,
The chairman of the project's user advisory group said: "Too many men like me who
benefit from medical procedures and treatments for prostate cancer nevertheless
suffer from significant 'late effects' of their experience over the months and
years. Erectile dysfunction is a serious problem for many of these men, who also
often leads to distressing relationship difficulties, stress or even
depression.
"Despite this,
more than half of these men do not receive such late professional support
effects, and I know to talk to them that this can have a huge impact on
their quality of life.
"That's why
it is so crucial that continued progress in the treatment of prostate cancer is
with urgent professional progress in post-treatment support
services."
In order to
to tackle the problem, the Movember Foundation is funding an online program
self-management program for people with prostate cancer, through the
TrueNTH global initiative, which is available now online.
It will provide personalized self-management strategies to help improve baduality.
wellbeing after prostate cancer.
Owen Sharp, CEO
of the Movember Foundation, said: "Sexual dysfunction can have a huge impact on
quality of life after a diagnosis of cancer.
"Provide
Better support for men after prostate cancer is a top priority for Movember.
Programs like ours give medical teams the tools they need to help men
struggling with badual dysfunction. "
Prostate cancer
is the most common cancer in men, with around 400,000 people living with and
after the illness in the UK.
More information
For
interview requests, please contact the press service of the University of Leeds at 07712
389448 (outside working hours), 0113 34 38059 (in hours of work) or [email protected].
Lancet Oncology The document entitled "Men's Quality of Life"
living with advanced and localized prostate cancer: A United Kingdom
A study of the patient-reported results of 30,000 men at the population level is available online here: http://dx.doi.org/10.1016/S1470-2045(18)30780-0
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