Preparing Patients and Partners for the Recovery From the Side-Effects of Prostate Cancer Surgery: a Group Approach.

To evaluate the acceptance and knowledge attained in a pre-operative psychoeducational group seminar for patients and partners. Education before radical prostatectomy helps patients set appropriate expectations for functional recovery.

We hypothesized that the seminar would be acceptable and facilitate learning.

Men scheduled for RP from March 1, 2012 to July 31, 2013 were eligible, partners were invited. The 2. 5-hour interactive seminar included multidisciplinary presentations about surgery-related urinary and sexual outcomes, rehabilitation, and couples' work towards 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 non-parametric statistics.

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%, 90%, respectively) expected some urinary incontinence and understood rehabilitation strategies to regain bladder control; 84% patients/78% partners expected post-surgery sexual activity to be different and 73% patients/65% partners expected surgery to make erections worse. Couples were incongruent regarding frequency of incontinence, likelihood of ED and sex being different after surgery: patients were more realistic.

A pre-operative 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.

Urology. 2015 Nov 02 [Epub ahead of print]

Kellie Paich, Rodney L Dunn, Ted Skolarus, James Montie, Brent Hollenbeck, Ganesh Palapattu, David Wood, Staci Mitchell, Victor Hola, Kim Erickson, Jennifer Shifferd, Daniela Wittmann

Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109; Movember Foundation, 8859 Higuera St. , Culver City, CA, 90232. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109; VA Ann Arbor Healthcare System, HSRD Center for Clinical Management Research, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Beaumont Health System, 3601 W 13 Mile Road, Royal Oak, MI 48073. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109. , Department of Physical Medicine & Rehabilitation, 1500 East Medical Center Drive, University of Michigan, Ann Arbor, MI, 48109. , Department of Physical Medicine & Rehabilitation, 1500 East Medical Center Drive, University of Michigan, Ann Arbor, MI, 48109. , Department of Urology, University of Michigan, 2800 Plymouth Road, Building 16, Ann Arbor, MI, 48109; School of Social Work, 1080 South University Avenue, University of Michigan, Ann Arbor, MI, 48109. 

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