Abstract
Purpose
Endocrine therapy for prostate cancer causes substantial side effects, and previous
studies have focused on the impacts on sexuality and masculinity. Little is known
about how men experience bodily alterations in everyday life through the course of
the prostate cancer and treatment. The aim of this study was to show how men with
prostate cancer experience bodily changes and how these alterations influence daily
life.
Method
The study was conducted via qualitative interviews with a phenomenological hermeneutic
approach. We interviewed ten men (aged 58–83) with prostate cancer who received endocrine
therapy as the primary treatment method.
Results
The results showed that five themes were important for the men’s experiences of their
bodily alterations throughout the course of the illness: “something is ‘wrong’”, “when
the body becomes troublesome”, “to be well or to be ill”, “dealing with the alterations”
and “to talk about cancer and the intimate details”. Initially, the shock of receiving
a cancer diagnosis and the physical changes in their bodies were at the forefront
of many patients’ minds. Eventually, the impact of the side effects became more evident,
which caused problems in everyday life. Yet, the men were able to reflect on the impact
of treatment on their everyday lives.
Conclusion
This study showed that hormone treatment has a significant influence, both directly
and indirectly, on the bodies of prostate cancer patients. The experiences of men
with prostate cancer may lead to feelings of loss of identity on an existential level.
Keywords
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References
- Management of advanced prostate cancer.The Oncologist. 2000; 5: 36-44
- En livsverdenstilnærming for helsevitenskapelig forskning.in: Bengtsson J. Å forske i sykdoms- og pleieerfaringer. Høyskoleforlaget, 2006 (in norwegian)
- Cancer in Norway 2008.2009
- Prostate cancer: embodied experience and perceptions of masculinity.Sociology of Health & Illness. 2002; 24: 820-841
- Reflective Lifeworld Research.Studentlitteratur, Lund2001
- Hit by waves – living with local advanced or localized prostate cancer treated with endocrine therapy or under active surveillance.Cancer Nursing. 2010; 33: 382-389
- Sexual dysfunction and the preservation of manhood: experiences of men with prostate cancer.Journal of Health Psychology. 2002; 7: 303-316
- Hermeneutic research in nursing: developing a Gadamerian-based research method.Nursing Inquiry. 2003; 10: 113-120
- Truth and Method.second ed. Sheed & Ward, London1999
- Hegemonic masculinity and the experience of prostate cancer: a narrative approach.Journal of Aging and Identity. 2002; 7: 43-60
- The experiences of men receiving androgen deprivation treatment for prostate cancer: a qualitative study.The Canadian Journal of Urology. 2005; 12: 2755-2763
- Body image perceptions in men with prostate cancer.Oncology Nursing Forum. 2009; 36: 167-172
- Nasjonalt handlingsprogram med retningslinjer for diagnostikk, behandling og oppfølging av prostatakreft. In norwegian.2009
- Initial management of prostate cancer: first year experience with the Norwegian National Prostate Cancer Registry.British Journal of Urology International. 2010; 105: 805-811
- Complications of androgen-deprivation therapy in prostate cancer: the other side of the coin.British Journal of Urology International. 2009; 103: 1020-1023
- Sexuality and the cancer survivor: a silent coexistence.Cancer Nursing. 2000; 23: 477-482
- Når det intime blir offentlig Kvinners erfaringer med åpenhet om brystkreft.Nordisk tidsskrift for helseforskning. 2009; 5 (in norwegian)
- Heidegger and meaning: implications for phenomenological research.Nursing Philosophy. 2000; 1: 134-146
- Changed men: the embodied impact of prostate cancer.Qualitative Health Research. 2009; 19: 151-163
- The Absent Body.The University of Chicago Press, Chicago and London1990
- Det sterke kjønns sårbarhet.Sosiologisk Tidsskrift. 2006; (in norwegian): 311-325
- Reclaiming wellness – living with bodily problems, as narrated by men with advanced prostate cancer.Cancer Nursing. 2006; 29: 327-337
- Det gjenstridige livet.Tiden, Oslo1998 (in norwegian)
- Ensnared by positivity: a constructivist perspective on “being positive” in cancer care.European Journal of Oncology Nursing. 2010; 14: 283-290
- Kroppens fenomenologi.Pax Forlag, Oslo1994 (in Norwegian)
- The Body Silent.1990 (New York)
- Advanced prostate cancer patients’ ways of coping with the hormonal therapy’s effect on body, sexuality, and spousal ties.Qualitative Health Research. 2003; 13: 1378-1392
- Advanced prostate cancer patients' relationships with their spouses following hormonal therapy.European Journal of Oncology Nursing. 2003; 7: 73-80
- Speak no More of Cousinage? Neoliberalism, Conflict and the Decline of Joking Relationships?.(Africa Peace and Conflict Network)2008
- Embodied masculinity and androgen deprivation therapy.Sociology of Health & Illness. 2006; 28: 410-432
- Connecting humor, health, and masculinities at prostate cancer support groups.Psycho-Oncology. 2009; 18: 916-926
- Cancersjuka personers lidenade.Studentlitteratur, Lund2005
- Nursing Research.eighth ed. Lippincott Williams & Wilkins, 2008
- Kvinner med kroniske muskelsmerter – kropp og dagligliv.in: Bengtsson J. Å forske i sykdoms-og pleieerfaringer. Kristiansand: Høyskoleforlaget. 2006 (in Norwegian)
- Rethinking men’s health and illness.in: Sabo D. Gordon D.F. Men’s Health and Illness Gender, Power, and the Body. SAGE Publications, 1995
- “Being somewhere else” – delusion or relevant experience? A phenomenological investigation into the meaning of lived experience from being in intensive care.International Journal of Qualitative Studies on Health and Well-Being. 2007; 2: 144-159
- The mourning of an enlarged and diseased prostate.Journal of Investigation Surgery. 2005; 18: 51-53
- The Meaning of Illness.Kluwer Academic Publishers, 1993
- Researching Lived Experience.second ed. The Althouse Press, Toronto1997
- Hermeneutic-phenomenology: providing living knowledge for nursing practice.Journal of Advanced Nursing. 2000; 31: 211-218
- Male Bodies Health, Culture and Identity.Open University Press, Buckingham Philadelphia2000
Article info
Publication history
Published online: May 09, 2011
Identification
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© 2011 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.