The effects of radical prostatectomy on gay and bisexual men's mental health, sexual identity and relationships: qualitative results from the restore study

B. R.Simon Rosser, Benjamin Capistrant, Beatriz Torres, Badrinath Konety, Enyinnaya Merengwa, Darryl Mitteldorf, William West

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

The effect of prostate cancer treatment in gay and bisexual men is an under-researched area. In 2015, we conducted in-depth telephone interviews with 19 gay and bisexual men who had undergone radical prostatectomies. Across the respondents’ five emotional themes emerged: (1) shock at the diagnosis, (2) a reactive, self-reported “depression”, (3) sex-specific situational anxiety, (4) a sense of grief, and, (5) an enduring loss of sexual confidence. Identity challenges included loss of a sense of maleness and manhood, changes in strength of sexual orientation, role-in-sex identity, and immersion into sexual sub-cultures. Relationship challenges identified included disclosing the sexual effects of treatment to partners, loss of partners, and re-negotiation of sexual exclusivity. Most to all of these effects stem from sexual changes. To mitigate these negative effects of radical prostatectomy, and to address health disparities n outcomes observed in gay and bisexual men, all these challenges need to be considered in any tailored rehabilitation program for gay and bisexual men.

Original languageEnglish (US)
Pages (from-to)446-461
Number of pages16
JournalSexual and Relationship Therapy
Volume31
Issue number4
DOIs
StatePublished - Oct 1 2016

Keywords

  • Erectile dysfunction
  • orgasm
  • psychiatric treatment
  • relationship factors
  • sexual orientation

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