Sexual Counseling of Patients Undergoing Radical Surgery for Pelvic or Genital Cancer

Abstract

Because sexual function is an important concern of many patients undergoing radical surgery for pelvic or genital cancer, a program of education and counseling for both patient and partner is advisable. Ideally, counseling begins with assessment and sex education at the time treatment is determined. The counselor follows the patient or couple during the hospitalization and several times during the first year after surgery. In this way, problems that require more intensive sex therapy can be identified. Counseling is especially important for patients who are unmarried, have an ostomy, or are considering reconstructive surgery. Special treatment techniques can overcome female dyspareunia and organic erectile dysfunction.