Prostate cancer is the most common cancer in France (54,000 cases in 2011). About 20,000 radical prostatectomies (PR) per year are performed. Despite the progress of PR over the past 20 years, the rate of erectile dysfunction post PR varies between 30 and 90% and only 16% of operated men recover their pre-treatment erections. There is currently no validated post-prostatectomy rehabilitation protocol. The associations of patients, including the National Association of Prostate Cancer Patients have a very strong demand for treatment of sexual problems after treatment.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
240
Patients will benefit from the first session of preoperative therapeutic education, then the next 5 sessions will be done postoperatively over a period of 4 month and a half. Session 1: The first session will be devoted appropriately to patient education. It will take place on the day of the preoperative anesthesia consultation. Session 2: day of discharge from hospital. Make the patient adhere to the concept of post PR erectile rehabilitation in the same way as sphincter reeducation. Session 3: Presentation of available treatments, start intracavernous injections. Session 4: Acquisition of know-how on treatment management. Reduce anxiety. Session 5: Encourage the resumption of intercourse very gradually. The presence of the partner will be advised. Session 6: measure of the evolution of the representations and knowledge of the patient. The skills of the patient will be evaluated from problem situations, motivation scale. The know-how will be evaluated using observation grid.
Patients in the control group are offered to participate in the study, which consists of collecting data on their sexuality. This in addition to the current care by the teams of care about erectile rehabilitation (information and medication prescriptions).
Participation in a therapeutic education day.
Hôpital Hédouard Herriot
Lyon, France
RECRUITINGCentre Hospitalier Lyon Sud
Pierre-Bénite, France
RECRUITINGChange the quality of sexual life of patients treated with radical prostatectomy (PR)
Comparison of the difference in self-Esteem quotation and Relationship (SEAR) questionnaire, between the experimental group and control, between inclusion and Month 18.
Time frame: 18 months
Sexual function
Measure of The International Index of Erectile Function (IIEF-EF) score. This validated score measures the erectile component.
Time frame: Month 1, 6, 12 and 18
General quality of life
Signing of questionnaire EuroQol-D5 (EQ-D5)
Time frame: Month 1, 6, 12 and 18
Sexual quality of life of the partner
Index of Sexual Life (ISL) questionnaire, validated questionnaire specifically created to assess the impact of erectile dysfunction (ED) in the partner.
Time frame: Month 1, 6, 12 and 18
Number of erections obtained in the last month
Patient questionnaire to be filled every month at home by the patient and the partner
Time frame: Month 1, 6, 12 and 18
Number of reports deemed satisfactory
Patient questionnaire to be filled every month at home by the patient and the partner
Time frame: Month 1, 6, 12 and 18
Number of intracavernous injections performed per week
Patient questionnaire to be filled every month at home by the patient and the partner
Time frame: Month18
Patient Activation Measure (questionnaire PAM)
Time frame: Month18
Erection Hardness Score (EHS)
Time frame: Month 1, 6, 12 and 18
Continence: urinary handicap measurement scale (MHU)
Time frame: Month 1, 6, 12 and 18
Penis size (cm)
Time frame: Month 1, 6, 12 and 18
Knowledge acquisition measured by quizz build for the study made of simulated cases
Time frame: Month 1, 6, 12 and 18
acquisition of sexual intercourse management skills measured by quizz build for the study made of simulated cases
Time frame: Month 1, 6, 12 and 18
Anxiety level measured by the Hospital Anxiety and Depression (HAD) scale
Time frame: Month 6 and18
Depression level measured by the Hospital Anxiety and Depression (HAD) scale
Time frame: Month 6 and18
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