目次

1. Acknowledgements.- 2. Introduction.- 3. Prostate cancer.- 4. Cancer survivorship.- 5. Prostate cancer and radical treatment.- 6. Definition of Psychosexual care and importance post-surgery for prostate cancer. 7.Barriers to psychosexual care.- 8. Impact of Psychosexual care on patient health related quality of life (QOL).- 9. Importance of addressing psychosexual concerns.- 10. Pharmacological and non-pharmacological treatment for improved sexual function.- 11. Post treatment monitoring for recurrence - the ‘usual pathway.- 12. Current follow-up care pathway vs. a new ‘psychosexual’ pathway.- 13. Current prostate cancer survivorship care pathways.- 14. Impact of Acute and chronic co-morbidities on psychosexual concerns.- 15. Barriers to psychosexual care- the ‘psycho-social’ part.- 16. Assessment of psychosexual concerns, health related quality of life and acute and chronic co-morbidities in patients post-surgery for prostate cancer.- 17. Psychosexual interventions.- 18. Needs, challenges and UK survivorship initiative and solutions.- 19. Needs and challenges in survivorship care.- 20. Systematic review – Requirement for care.- 21 Systematic review - search strategy.- 22. Systematic Review - eligibility and types of studies to be included.- 23. Systematic review– identifying studies, data extraction and quality assessment of studies.- 24. Systematic review - characteristics of studies.- 25. Statement of main findings.- 26. Quality assessment of studies – systematic review.- 27. Did the studies address clearly focused issues?.- 28. Recruitment of cohorts.- 29. Tools used in assessment.- 30. Confounding factors and alteration of study design for studies in systematic review.- 31. Unmet needs and psychosexual concerns.- 32. Medical components of psychosexual pathways- medications and erectile devices.- 33. Medical components of psychosexual pathways- intracavernosal injection therapy and penile prostheses.- 34. Requirement for psychosexual pathways.- 35. Communication and support.- 36. Psychosexual concerns and time since procedure.- 37. Patient age, co-morbidities and psychosexual concerns.- 38. Psychosexual impairment, degree of surgery and erectile aids.- 39. Psychosexual care and quality of life.- 40. Psychosexual care and Integration back into society.- 41. Strengths and limitations- systematic review.- 42. Findings in relation to other psychosexual studies and trends in literature – systematic review.- 43. Current systematic reviews relating to systematic review.- 44. Psychosexual care and unmet need, Requirements for a psychosexual pathway and components of pathways.- 45. Psychosexual care and role of couple.- 46. Interventions on psychosexual concerns.- 47. Statement of main findings and specific areas of unmet needs arising from systematic review.- 48. Systematic review – conclusion.- 49. Follow-up pathway structures.- 50. Research methods in survivorship.- 51. Patient focus group results.- 52. Healthcare professional focus group results.- 53. Generation of themes.- 54. Survivorship care an unmet need.- 55. A new model of care.- 56. Areas to address in psychosexual care and survivorship.- 57. The future for survivorship care.- 58. Impact of psychosexual care on uro oncology.- 59. Impact of acute and chronic co-morbidities on survivorship.- 60. Assessment of psychosexual concerns, health related quality of life and acute and chronic co-morbidities in patients post-surgery for prostate cancer.- 61. Psychosexual interventions in survivorship care.- 62. Psychosexual care – the literature.- 63. Current NHS care.- 64. Unmet needs.- 65. The Worcestershire Prostate cancer database.- 66. The Prostate Cancer Survivorship care assessment tool.- 67. Role of patient conferences in current care.- 68. Prostate cancer survivorship- a systematic review.- 69. Medical requirements in survivorship.- 70. Sexual impairment in survivorship.- 71. Work related symptoms and support.- 72. Diet and exercise.- 73. Survivorship Inerventions.- 74. Development of survivorship interventions.- 75. Survivorship studies, methods of follow-up.- 76. Survivorship needs.- 77. Lack of care.- 78. Exercise and nutrition.- 79. Communication and families.- 80. Areas of care to be developed.- 81. Mixed methods research.- 82. Symptom control in survivorship care.- 83. Ongoing health needs.- 84. Medical requirements in survivorship.- 85. Work related symptoms.- 86. Medical care and communication.- 87. Psychosexual impairment and adjuvant therapy.- 88. Psychosexual care- what the literature says.- 89. Systematic review- diet and exercise therapy.- 90. UK diet and exercise studies.- 91. Medical requirements in survivorship.- 92. Diet and exercise- is it important?.- 93. Diet and exercise interventions.- 94. Patient diet and exercise needs.