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Materials and Methods: Adult men diagnosed between October 2022 and April 2024 were included; exclusions applied for prior cancer treatment, inactive sexual life, or treated anxiety/depression. Retrospective records and interviews with a semi-structured questionnaire measured sexuality, relationship dynamics, and perceived physician approach. RStudio analysis used chi-square tests.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/impact-of-diagnosis-of-urologic-cancer-on-male-sexuality-and-patients-perceptions-of-health-professionals-approach/366069/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/impact-of-diagnosis-of-urologic-cancer-on-male-sexuality-and-patients-perceptions-of-health-professionals-approach/366069.png","ImageObject",300,407,{"name":92,"@type":93},"Rizky","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",15,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the study’s main objective?","Question",{"text":113,"@type":114},"To evaluate the impact of a urological neoplasm diagnosis on male sexuality and to examine patients’ perceptions of healthcare professionals’ engagement with sexuality at diagnosis.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How were participants selected and what were key exclusions?",{"text":118,"@type":114},"Adult men diagnosed between October 2022 and April 2024 were invited; patients were excluded if they had prior cancer treatment, an inactive sexual life before diagnosis, or histories of anxiety/depression treatment.",{"name":120,"@type":111,"acceptedAnswer":121},"What were the major findings regarding sexuality discussions at diagnosis?",{"text":122,"@type":114},"Only 23.2% of physicians addressed sexuality at diagnosis, and patient satisfaction was significantly higher when these discussions occurred, with satisfaction linked to tumor site.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},366069,1790246927,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","ORIGINAL ARTICLE  \nVol. 51 (4): e20259910, July-August, 2025  \ndoi: 10.1590/S1677-5538. IBJU.2025.9910  \nImpact of Diagnosis of Urologic Cancer on Male Sexuality and Patients’ Perceptions of Health Professional’s Approach  \nRodrigo Barros 1, Angelo Maurílio Fosse Jr 1, Alex Schul 1, Gabriel Mangas 1, Caio Henrique da Silva Teixeira 1, Tiago Ninis 1, João Paulo Martins Carvalho 2, Luciano A. Favorito 3  \n1 Serviço de Urologia do Hospital Universitário Antônio Pedro-Universidade Federal Fluminense-UFF, Niterói, RJ, Brasil;  \n2 Serviço de Urologia do Hospital Federal Cardoso Fontes, Rio de Janeiro, RJ, Brasil; 3 Unidade de Pesquisa UrogenitalUniversidade do Estado do Rio de Janeiro-UERJ, Rio de Janeiro, RJ, Brasil  \nABSTRACT  \nObjective: To evaluate the impact of a urological neoplasm diagnosis on male sexuality and examine patient perceptions of healthcare professionals’ engagement with sexuality at diagnosis.  \nMaterials and Methods: This study included adult men diagnosed with urological neoplasms across two urology cancer centers from October 2022 to April 2024. Exclusions applied to those with prior cancer treatment, inactive sexual lives, or histories of anxiety/depression treatment. Data were retrospectively gathered from medical records and individual interviews using a semi-structured questionnaire on male sexuality, relationship dynamics, and perceptions of physicians’ approach to sexuality. Analysis was conducted in RStudio using chi-square tests.  \nResults: A cohort of 211 patients were included in this study, with an age range of 22 to 85 years (mean = 65.4). Among these patients, the diagnoses of urogenital cancer included cases of prostate (79.1%), bladder (9.9%), kidney (4.2%), testicular (3.7%), and penile (2.8%) neoplasms. Sexual activity was considered important by 90.5%, with 75.8% reporting decreased frequency post-diagnosis (99.5% were heterosexual and 72.5% were married). Anxiety or depression was reported by 46.9%, while 72% developed specific fears, primarily concerning erectile function and partner satisfaction. Only 23.2% of physicians addressed sexuality at diagnosis, with patient satisfaction significantly higher when these discussions occurred. Satisfaction levels were notably correlated with tumor site, with bladder cancer patients reporting higher satisfaction compared to those with prostate or penile cancer. Conclusions: Sexual issues extend beyond genital urological cancers, affecting patients with kidney and bladder cancers, with impacts often beginning at diagnosis. Early discussions on sexual health, combined with empathetic support, sexual education, and multidisciplinary care, are essential for the well-being of patients and their partners.  \nARTICLE INFO  \n Luciano A. Favorito  \n[https://orcid.org/0000-0003-1562-6068](https://orcid.org/0000-0003-1562-6068)  \nKeywords:  \nUrologic Neoplasms; Sexual Behavior; Quality of Life  \n\n| Submitted for publication: February 12, 2025 |\n| --- |\n| Accepted after revision: March 12, 2025 |\n\nPublished as Ahead of Print: March 25, 2025  \nInt Braz J Urol. 2025; 51(4): e20259910 | 1 de 1  \nINTRODUCTION  \nSexual health is an important component of the quality of life, and there is an association between cancer and changes in sexual behavior resulting from the impact of the disease and its treatment (1) . These changes can lead to significant distress, which at times can be the most difficult aspect of life following cancer.  \nUrological neoplasms often affect male sexuality, especially due to the physical consequences of their various therapeutic approaches, particularly in cases of prostate, testicle, and penile tumors. Indeed, the diagnosis of cancer can profoundly affect the emotional wellbeing of oncology patients, even in cases involving nonreproductive neoplasms, such as bladder and kidney cancers (2) . Patients with other types of tumors that do not directly affect the sexual or reproductive functions, such as head and neck, lung and lymphatic cancers, c","cbCaiufoso08mjcu","https://ap.wps.com/l/cbCaiufoso08mjcu","pdf",182086,"English","# Introduction\n# Materials and Methods","[{\"question\":\"What was the study’s main objective?\",\"answer\":\"To evaluate the impact of a urological neoplasm diagnosis on male sexuality and to examine patients’ perceptions of healthcare professionals’ engagement with sexuality at diagnosis.\"},{\"question\":\"How were participants selected and what were key exclusions?\",\"answer\":\"Adult men diagnosed between October 2022 and April 2024 were invited; patients were excluded if they had prior cancer treatment, an inactive sexual life before diagnosis, or histories of anxiety/depression treatment.\"},{\"question\":\"What were the major findings regarding sexuality discussions at diagnosis?\",\"answer\":\"Only 23.2% of physicians addressed sexuality at diagnosis, and patient satisfaction was significantly higher when these discussions occurred, with satisfaction linked to tumor site.\"}]","Impact of Diagnosis of Urologic Cancer on Male Sexuality and Patients’ Perceptions of Health Professional’s Approach | PDF",1790163748,18]