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Abstract(s)
O cancro do pénis é uma neoplasia maligna que afeta, maioritariamente, homens entre os
60 e os 70 anos de idade.
Devido aos avanços tecnológicos e médicos, o histórico tratamento cirúrgico desta
patologia, através da remoção parcial ou total do pénis, tem vindo a ser objeto de estudo
pela sua natureza mutilante. Por isto, têm vindo a ser introduzidas outras técnicas menos
invasivas e mais conservadoras, como por exemplo, terapia a laser, braquiterapia,
glansectomia, entre outras.
Uma vez que o cancro do pénis apresenta uma elevada taxa de sobrevivência, a morbilidade
associada ao tratamento é vivenciada por longos períodos. Assim, esta dissertação tem
como objetivo conhecer, através da comparação de diferentes estudos, as disfunções sexuais
associadas ao tratamento do cancro do pénis, com o fim de oferecer estratégias médicas,
cirúrgicas ou psicológicas personalizadas às necessidades de cada paciente.
Em suma, a maioria das técnicas conservadoras mostrou ser capaz de preservar a função
sexual. No entanto, verificou-se, em alguns estudos, um ligeiro efeito negativo destas
técnicas, como consequência da diminuição do desejo sexual, disfunção erétil e redução do
comprimento do pénis. Por um lado, após penectomia parcial, um coto peniano
remanescente superior a três centímetros parece estar relacionado com a possibilidade do
estabelecimento de relações sexuais satisfatórias. Por outro lado, a penectomia total
prejudica, de forma mais significativa, a vida sexual dos doentes, visto que ficam totalmente
incapacitados de participar em relações sexuais com penetração. Por fim, o tratamento do
cancro do pénis não parece afetar as relações emocionais estáveis, contudo, caso seja da
vontade do doente, devemos incluir o/a parceiro/a na discussão da escolha do tratamento.
Penile cancer is a rare malignant disease that mostly affects men between 60 and 70 years old. Due to technological and medical advances, the surgical treatment of this disease through partial or total penectomy has been studied because of its mutilating nature. Therefore, less invasive and more conservative techniques have been introduced such as laser therapy, brachytherapy, glansectomy and others. Since penile cancer has a high survival rate the morbidity associated with its treatment is experienced for long years by patients. Thus, this dissertation aims to understand the sexual dysfunctions in men with penile cancer to offer medical, surgical and psychological personalized strategies to each patient. In conclusion most conservative techniques have shown to be able to preserve sexual function. However, in some studies these techniques had some negative effects in sexual function as consequence of decreased sexual desire, erectile dysfunction and reduced penile length. On the one hand following partial penectomy a penile stump bigger than three centimeters was associated with the achievement of satisfactory sexual intercourse. On the other hand, total penectomy seems to harm patient’s sexual life in a significant way due to the complete inability of men to perform sexual intercourse. Finally, penile cancer treatment does not seem to affect emotional relationships. However, if wanted we should comply with the patient wish to include his partner in the discussion of treatment options.
Penile cancer is a rare malignant disease that mostly affects men between 60 and 70 years old. Due to technological and medical advances, the surgical treatment of this disease through partial or total penectomy has been studied because of its mutilating nature. Therefore, less invasive and more conservative techniques have been introduced such as laser therapy, brachytherapy, glansectomy and others. Since penile cancer has a high survival rate the morbidity associated with its treatment is experienced for long years by patients. Thus, this dissertation aims to understand the sexual dysfunctions in men with penile cancer to offer medical, surgical and psychological personalized strategies to each patient. In conclusion most conservative techniques have shown to be able to preserve sexual function. However, in some studies these techniques had some negative effects in sexual function as consequence of decreased sexual desire, erectile dysfunction and reduced penile length. On the one hand following partial penectomy a penile stump bigger than three centimeters was associated with the achievement of satisfactory sexual intercourse. On the other hand, total penectomy seems to harm patient’s sexual life in a significant way due to the complete inability of men to perform sexual intercourse. Finally, penile cancer treatment does not seem to affect emotional relationships. However, if wanted we should comply with the patient wish to include his partner in the discussion of treatment options.
Description
Keywords
Cancro do Pénis Disfunção Sexual Função Sexual Resultados Sexuais Sexualidade