Abstract: |
(from the chapter) Genitourinary (GU) cancers are common and represent a frequent cause of cancer death. With the exception of testicular cancer, the incidence of GU cancers (e.g., prostate, bladder, renal and penile cancers) increases with advancing age. Thus, understanding coincident life phase characteristics is important in optimizing the ability of each patient to cope with his illness. The effect of treatment on the quality of life (QOL) of patients has become more significant as survival has improved for many GU cancers. Quality of life areas of concern include coping with body image and integrity changes, varying degrees of sexual and physical intimacy dysfunction, and infertility. These issues compound the generic difficulties of coping with cancer, such as dealing with pain, fatigue, and other complications of treatment, including interruption of daily functioning, and career uncertainty. These issues also complicate primary treatment decisions as patients are often weighing curability and longevity potential of different options against possible posttreatment QOL concerns. This chapter gives an overview of medical and psychosocial issues as well as their management in patients and their families. (PsycINFO Database Record (c) 2011 APA, all rights reserved). |