Development of a Therapeutic Education Program for Patients Operated for Prostate Cancer

Development of a Therapeutic Education Intervention Improving Sexuality in Patients With Prostate Cancer Treated With Radical Prostatectomy

The aim is to built a Therapeutic Education Program for patients treated with radical prostatectomy in order to improve their sexuality.

This study is carried out in two steps :

• Identification of specific educational objectives through a sociological study, with interviews and focus groups conducted and analyzed by a sociologist. Patients from the urology department of the hospital center (CH) Lyon Sud - Hospices Civils de Lyon (HCL) will be included
• Development of the program by a caregiver education expert (Centre Hygée), adapted partly from results of the qualitative study and partly from concepts and tools from the Education Sciences.

8 patients and 2 urologists will be interview to explore the educational needs and to create, expand and validate an interview guide. Exploratory interviews with urologists will address information given to patients on post radical prostatectomy sexual dysfunction, prescribing practices, monitoring therapy (PDE5 inhibitors, IIC, Vacuum), and patients adverse effects management.

Focus groups will be conduct to :

• Identify the representations associated with erectile dysfunction
• Identify the representations related to treatments for erectile dysfunction.
• Score patient knowledge about treatments and their managements.
• Identify common or original strategies to improve adherence, reduce side effects and overcome the disadvantages of the treatments.
• Assessing the needs and expectations of patients

Inclusion Criteria:

• Patients followed in urology department Lyon Sud CH:
• Aged over 18 year
• Having a prostate cancer
• Treated with radical prostatectomy with or without conservation strips neuro vascular
• More than 1 month postoperative
• Having a normal preoperative erectile function defined by a score IIEF EF ≥ 26.
• And who signed the informed consent form for participation in the study

Exclusion Criteria:

• Score preoperative IIEF EF <26
• Refusal of participation, signed consent major patients protected under guardianship.
• Patients unable to understand the course of the study
• Patient (s) with a documented history of cognitive or psychiatric disorders.
• Geographical remoteness of more than 100 Kms.