Exploring men's experiences of penile cancer surgery to improve rehabilitation

Nurs Times. 2009;105(12):20-4.

Abstract

Background: Penile cancer is an uncommon but serious cancer; in the UK 50% of patients undergo partial or complete penectomy resulting in far-reaching consequences.

Aim: To examine the impact of penectomy for men and make recommendations for rehabilitation and patient/carer support services.

Method: A small-scale qualitative study using interpretative phenomenological analysis (IPA) was carried out. A purposive sample of men with penile cancer (n = 9) at least 18 months post surgery were recruited. A male researcher interviewed them.

Results: Key themes were: the cancer journey; support and relationships; life stage and life review; and masculinity and self-image.

Conclusion: It is not unexpected to find that men should have changed life experiences following penile cancer surgery. However, the far-reaching and insidious nature of post-treatment changes reported here have implications for clinical practice and show that there is a need for further research in this area.

MeSH terms

  • Adaptation, Psychological*
  • Aged
  • Amputation, Surgical / adverse effects
  • Amputation, Surgical / psychology*
  • Amputation, Surgical / rehabilitation
  • Amputation, Surgical / statistics & numerical data
  • Attitude to Health*
  • Erectile Dysfunction / etiology
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Needs Assessment
  • Nursing Methodology Research
  • Patient Education as Topic
  • Penile Neoplasms* / complications
  • Penile Neoplasms* / psychology
  • Penile Neoplasms* / rehabilitation
  • Penile Neoplasms* / surgery
  • Qualitative Research
  • Quality of Life / psychology
  • Self Concept
  • Social Support
  • Spouses / education
  • Spouses / psychology
  • Surveys and Questionnaires
  • Urination Disorders / etiology