Sexual Dysfunction and Adaptation in Couples Affected by Prostate Cancer Surgery

December 9, 2015 updated by: University Health Network, Toronto

Sexual Dysfunction and Adaptation in Couples Affected by Prostate Cancer Surgery: Steps Towards a Bio-Psychosocial Model of Treatment

The purpose of this study is to explore patient and partner experiences with sexual dysfunction following radical prostatectomy, in order to understand its effects on sexual and non-sexual intimacy. This will enable us to provide assistance in the future to individuals experiencing similar circumstances.

Study Overview

Detailed Description

We are studying the impact of sexual dysfunction following radical prostatectomy on patient and partners' experiences of intimacy. Research with men in post-radical prostatectomy recovery indicates 25%-75% experience sexual dysfunction. Many patients experience anxiety and distress related to sexual difficulties. These experiences may progress and result in long-term problems in the relationship between patients and their partners. Despite apparent levels of effectiveness, up to half of the patients who turn to sexually assistive aids after surgical removal of the prostate discontinue use of the aids within one year. Additionally, difficulties in communicating about sexual impairments can significantly interfere with the couples' ability to achieve successful adaptation. We are interested in studying patient and partner experiences with sexual dysfunction in order to understand its effects on sexual and non-sexual intimacy.

Participation in this study will involve completing 6 confidential face-to-face interviews on three separate occasions (3-6 months, 12-15 months, and 21-24 months post-surgery). On each occasion, participants will be required to take part in a "couple's" interview with his/her partner, as well as an individual interview. The interviews will provide participants with the opportunity to discuss the impact of sexual dysfunction on mood, thoughts, and communication with their partners. Demographic information will be collected at the initial interview. As well, at each of the 3 time points, participants will also be asked to complete a questionnaire package containing 6 psychological questionnaires. All questionnaires and interview material will be kept strictly confidential.

Study Type

Observational

Enrollment (Actual)

50

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Ontario
      • Etobicoke, Ontario, Canada, M9V 1R8
        • Etobicoke General Hospital
      • Toronto, Ontario, Canada, M5G 2M9
        • The Prostate Centre, Princess Margaret Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

35 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Men with prostate cancer who have had a radical prostatectomy, and their intimate partners.

Description

Inclusion Criteria:

  • Radical prostatectomy treatment for prostate cancer at Princess Margaret Hospital or Etobicoke General Hospital
  • At least 3 months, but less than 6 months post-radical prostatectomy
  • Experience sexual dysfunction as a result of radical prostatectomy
  • Must have an intimate partner and be able to participate as a couple

Exclusion Criteria:

  • Detectable prostate specific antigen (PSA) post-radical prostatectomy
  • Patient or partner unable to speak English
  • Patient or partner unwilling to allow interviews to be recorded
  • Patient or partner unwilling to participate

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Semi-Structured Interview - Patient
Time Frame: 3-6 months post-radical prostatectomy
3-6 months post-radical prostatectomy
Semi-Structured Interview - Patient
Time Frame: 12-15 months post-radical prostatectomy
12-15 months post-radical prostatectomy
Semi-Structured Interview - Patient
Time Frame: 21-24 months post-radical prostatectomy
21-24 months post-radical prostatectomy
Semi-Structured Interview - Partner
Time Frame: 3-6 months post-radical prostatectomy
3-6 months post-radical prostatectomy
Semi-Structured Interview - Partner
Time Frame: 12-15 months post-radical prostatectomy
12-15 months post-radical prostatectomy
Semi-Structured Interview - Partner
Time Frame: 21-24 months post-radical prostatectomy
21-24 months post-radical prostatectomy
Semi-Structured Interview - Couple
Time Frame: 3-6 months post-radical prostatectomy
3-6 months post-radical prostatectomy
Semi-Structured Interview - Couple
Time Frame: 12-15 months post-radical prostatectomy
12-15 months post-radical prostatectomy
Semi-Structured Interview - Couple
Time Frame: 21-24 months post-radical prostatectomy
21-24 months post-radical prostatectomy

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The International Index of Erectile Function
Time Frame: 3-6 months post-radical prostatectomy
Used to assess erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction in patients and male partners
3-6 months post-radical prostatectomy
Index of Sexual Life
Time Frame: 3-6 months post-radical prostatectomy
Used to assess sexual desire and overall sexual satisfaction in female partners
3-6 months post-radical prostatectomy
Dyadic Adjustment Scale
Time Frame: 3-6 months post-radical prostatectomy
Used to measure couple distress
3-6 months post-radical prostatectomy
Hospital Anxiety and Depression Scale
Time Frame: 3-6 months post-radical prostatectomy
Used to measure anxiety and depression
3-6 months post-radical prostatectomy
The International Index of Erectile Function
Time Frame: 12-15 months post-radical prostatectomy
Used to assess erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction in patients and male partners
12-15 months post-radical prostatectomy
The International Index of Erectile Function
Time Frame: 21-24 months post-radical prostatectomy
Used to assess erectile function, orgasmic function, sexual desire, intercourse satisfaction and overall sexual satisfaction in patients and male partners
21-24 months post-radical prostatectomy
Index of Sexual Life
Time Frame: 12-15 months post-radical prostatectomy
Used to assess sexual desire and overall sexual satisfaction in female partners
12-15 months post-radical prostatectomy
Index of Sexual Life
Time Frame: 21-24 months post-radical prostatectomy
Used to assess sexual desire and overall sexual satisfaction in female partners
21-24 months post-radical prostatectomy
Dyadic Adjustment Scale
Time Frame: 12-15 months post-radical prostatectomy
Used to measure couple distress
12-15 months post-radical prostatectomy
Dyadic Adjustment Scale
Time Frame: 21-24 months post-radical prostatectomy
Used to measure couple distress
21-24 months post-radical prostatectomy
Hospital Anxiety and Depression Scale
Time Frame: 12-15 months post-radical prostatectomy
Used to measure anxiety and depression
12-15 months post-radical prostatectomy
Hospital Anxiety and Depression Scale
Time Frame: 21-24 months post-radical prostatectomy
Used to measure anxiety and depression
21-24 months post-radical prostatectomy
Brief Profile of Mood States
Time Frame: 3-6 months post-radical prostatectomy
Used to measure emotional distress
3-6 months post-radical prostatectomy
Brief Profile of Mood States
Time Frame: 12-15 months post-radical prostatectomy
Used to measure emotional distress
12-15 months post-radical prostatectomy
Brief Profile of Mood States
Time Frame: 21-24 months post-radical prostatectomy
Used to measure emotional distress
21-24 months post-radical prostatectomy
Miller Social Intimacy Scale
Time Frame: 3-6 months post-radical prostatectomy
Used to measure patient-partner intimacy
3-6 months post-radical prostatectomy
Miller Social Intimacy Scale
Time Frame: 12-15 months post-radical prostatectomy
Used to measure patient-partner intimacy
12-15 months post-radical prostatectomy
Miller Social Intimacy Scale
Time Frame: 21-24 months post-radical prostatectomy
Used to measure patient-partner intimacy
21-24 months post-radical prostatectomy
Sternberg Triangular Love Scale
Time Frame: 3-6 months post-radical prostatectomy
Used to assess levels of intimacy (closeness and connectedness), commitment and decisions to love, and passion
3-6 months post-radical prostatectomy
Sternberg Triangular Love Scale
Time Frame: 12-15 months post-radical prostatectomy
Used to assess levels of intimacy (closeness and connectedness), commitment and decisions to love, and passion
12-15 months post-radical prostatectomy
Sternberg Triangular Love Scale
Time Frame: 21-24 months post-radical prostatectomy
Used to assess levels of intimacy (closeness and connectedness), commitment and decisions to love, and passion
21-24 months post-radical prostatectomy

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Andrew G Matthew, PhD, C.Psych, University Health Network, Toronto

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2006

Primary Completion (Actual)

July 1, 2009

Study Completion (Actual)

July 1, 2009

Study Registration Dates

First Submitted

June 8, 2006

First Submitted That Met QC Criteria

June 8, 2006

First Posted (Estimate)

June 12, 2006

Study Record Updates

Last Update Posted (Estimate)

December 10, 2015

Last Update Submitted That Met QC Criteria

December 9, 2015

Last Verified

December 1, 2015

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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