Kellie Paich1, Rodney Dunn2, Ted Skolarus3, James Montie2, Brent Hollenbeck2, Ganesh Palapattu2, David Wood4, Staci Mitchell2, Victor Hola2, Kim Erickson5, Jennifer Shifferd5, Daniela Wittmann6. 1. Department of Urology, University of Michigan, Ann Arbor, MI; Division TrueNTH-USA, Movember Foundation, Culver City, CA. 2. Department of Urology, University of Michigan, Ann Arbor, MI. 3. Department of Urology, University of Michigan, Ann Arbor, MI; VA Ann Arbor Healthcare System, HSRD Center for Clinical Management Research, University of Michigan, Ann Arbor, MI. 4. Beaumont Health System, Royal Oak, MI. 5. Department of Physical Medicine & Rehabilitation, University of Michigan, Ann Arbor, MI. 6. Department of Urology, University of Michigan, Ann Arbor, MI; School of Social Work, University of Michigan, Ann Arbor, MI. Electronic address: dwittman@med.umich.edu.
Abstract
OBJECTIVE: To evaluate the acceptance and knowledge attained in a preoperative psychoeducational group seminar for patients and partners. Education before radical prostatectomy (RP) helps patients set appropriate expectations for functional recovery. We hypothesized that the seminar would be acceptable and would facilitate learning. MATERIALS AND METHODS: Men scheduled for RP from March 1, 2012, to July 31, 2013, were eligible, and partners were invited. The 2.5-hour interactive seminar included multidisciplinary presentations about surgery-related urinary and sexual outcomes, rehabilitation, and couples' work toward recovering sexual intimacy. A satisfaction and knowledge survey was administered immediately afterward. We analyzed demographic and satisfaction data with descriptive statistics and evaluated congruence of patients' and partners' knowledge responses using nonparametric statistics. RESULTS: Of 618 patients scheduled, 426 patients and 342 partners attended; 323 couples provided complete data. Over 90% of participants found the seminar informative and 74% found a group setting comfortable; 84% found travel to the seminar burdensome. Most patients and partners (84% and 90%, respectively) expected some urinary incontinence and understood rehabilitation strategies to regain bladder control; 84% of patients and 78% of partners expected postsurgery sexual activity to be different and 73% of patients and 65% of partners expected surgery to make erections worse. Couples were incongruent regarding frequency of incontinence, likelihood of erectile dysfunction, and sex being different after surgery: patients were more realistic. CONCLUSION: A preoperative psychoeducational group seminar on the recovery from RP side effects promotes realistic expectations and is acceptable to patients and partners. Incongruent couples may need further instruction after surgery. Web-based methodology could improve access and should be studied in future research.
OBJECTIVE: To evaluate the acceptance and knowledge attained in a preoperative psychoeducational group seminar for patients and partners. Education before radical prostatectomy (RP) helps patients set appropriate expectations for functional recovery. We hypothesized that the seminar would be acceptable and would facilitate learning. MATERIALS AND METHODS:Men scheduled for RP from March 1, 2012, to July 31, 2013, were eligible, and partners were invited. The 2.5-hour interactive seminar included multidisciplinary presentations about surgery-related urinary and sexual outcomes, rehabilitation, and couples' work toward recovering sexual intimacy. A satisfaction and knowledge survey was administered immediately afterward. We analyzed demographic and satisfaction data with descriptive statistics and evaluated congruence of patients' and partners' knowledge responses using nonparametric statistics. RESULTS: Of 618 patients scheduled, 426 patients and 342 partners attended; 323 couples provided complete data. Over 90% of participants found the seminar informative and 74% found a group setting comfortable; 84% found travel to the seminar burdensome. Most patients and partners (84% and 90%, respectively) expected some urinary incontinence and understood rehabilitation strategies to regain bladder control; 84% of patients and 78% of partners expected postsurgery sexual activity to be different and 73% of patients and 65% of partners expected surgery to make erections worse. Couples were incongruent regarding frequency of incontinence, likelihood of erectile dysfunction, and sex being different after surgery: patients were more realistic. CONCLUSION: A preoperative psychoeducational group seminar on the recovery from RP side effects promotes realistic expectations and is acceptable to patients and partners. Incongruent couples may need further instruction after surgery. Web-based methodology could improve access and should be studied in future research.
Authors: Marigdalia K Ramirez-Fort; Paula Suarez; Margely Carrion; Daniel Weiner; Claire Postl; Ricardo Arribas; Mehdi Sayyah; Digna V Forta; M Junaid Niaz; Amir Feily; Christopher S Lange; Zhahedia Zhaythseff Fort; Migdalia Fort Journal: Rep Pract Oncol Radiother Date: 2020-04-30
Authors: Nadja Schoentgen; Gianluigi Califano; Celeste Manfredi; Javier Romero-Otero; Felix K H Chun; Idir Ouzaid; Jean-François Hermieu; Evanguelos Xylinas; Paolo Verze Journal: Front Surg Date: 2021-04-21
Authors: D Wittmann; A Mehta; L Northouse; R Dunn; T Braun; A Duby; L An; L Arab; R Bangs; S Bober; J Brandon; M Coward; M Dunn; M Galbraith; M Garcia; J Giblin; M Glode; B Koontz; A Lowe; S Mitchell; J Mulhall; C Nelson; K Paich; C Saigal; T Skolarus; J Stanford; T Walsh; C E Pollack Journal: BMC Cancer Date: 2017-10-02 Impact factor: 4.430