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Unmet needs in sexual health in bladder cancer patients: a systematic review of the evidence
Umeå University, Faculty of Medicine, Department of Biobank Research. King’s College London, School of Cancer and Pharmaceutical Studies, Translational Oncology & Urology Research (TOUR), London, UK; Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0001-6808-4405
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2020 (English)In: BMC Urology, E-ISSN 1471-2490, Vol. 20, no 1, article id 64Article, review/survey (Refereed) Published
Abstract [en]

Background: Bladder cancer (BC) treatment can have a detrimental effect on the sexual organs of patients and yet assessment of sexual health needs has been greatly overlooked for these patients compared to those who have undergone other cancer therapies.

Methods: This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines in July 2019. Studies were identified by conducting searches for Medline (using the PubMed interface), the Cochrane Central Register of Controlled Trials (CENTRAL) and Ovid Gateway (Embase and Ovid) using a list of defined search terms.

Results: 15 out of 37 studies included men only, 10 studies women only and 11 both sexes. Most participants were aged 50 to 65 years. Most studies (n = 34) focused on muscle invasive BC and only three on non-muscle invasive BC. Measurements of sexual dysfunction, including erection, ejaculation, firmness and desire, were the most commonly used measurements to report sexual health in men. In women, lubrification/dryness, desire, orgasm and dyspareunia were the most commonly reported. Twenty-one studies evaluated sexual dysfunction based on validated questionnaires, two with a non-validated questionnaire and through interviewing participants.

Conclusion: While recognition of the importance of the inclusion of psychometric measurements to assess sexual health is growing, there is a lack of consistent measures to assess sexual health in BC. With the focus on QoL arising in cancer survivorship, further studies are needed to develop, standardize and implement use of sexual health questionnaires with appropriate psychometrics and social measures to evaluate QoL in BC patients.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2020. Vol. 20, no 1, article id 64
Keywords [en]
Bladder cancer, Sexual health, Radical cystectomy, Health-related quality of life, Mental wellbeing
National Category
Urology and Nephrology
Identifiers
URN: urn:nbn:se:umu:diva-173317DOI: 10.1186/s12894-020-00634-1ISI: 000540792100001PubMedID: 32493286Scopus ID: 2-s2.0-85085988280OAI: oai:DiVA.org:umu-173317DiVA, id: diva2:1451281
Available from: 2020-07-02 Created: 2020-07-02 Last updated: 2024-01-16Bibliographically approved

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Häggström, Christel

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