ABSTRACT

Prostate cancer treatments disrupt receptive anal intercourse (RAI) for gay and bisexual men (GBM). Sexual dysfunction following prostate cancer treatment may include severe pain in the anorectum during RAI (i.e., anodyspareunia). The purpose of this study was to explore the impact of prostate cancer and its treatments on RAI among GBM. Data were from a cross-sectional online survey of 100 GBM prostate cancer survivors who reported pleasurable RAI prior to treatment. Approximately 47% of the sample reported recent RAI, which was more common among GBM in long-term relationships. RAI was also associated with engagement in other sexual behaviors (e.g., oral and insertive anal sex). Anodyspareunia was reported by 23% of the men who had attempted recent RAI. Anodyspareunia was negatively associated with mental health, performing oral sex on a partner, and bowel function. The overwhelming majority received no information from their healthcare providers about loss of RAI function prior to prostate cancer treatment. Culturally responsive cancer survivorship care may need to address the loss of RAI function for GBM prostate cancer survivors.

摘要

前列腺癌治疗会破坏男同性恋和双性恋男性 (GBM) 的接受性肛交 (RAI)。前列腺癌治疗后的性功能障碍可能包括 RAI 期间肛门直肠的剧烈疼痛（即性交痛）。本研究的目的是探讨前列腺癌及其治疗对 GBM 中 RAI 的影响。数据来自对 100 名 GBM 前列腺癌幸存者进行的横断面在线调查，他们在治疗前报告了愉快的 RAI。大约 47% 的样本报告了最近的 RAI，这在长期关系中的 GBM 中更为常见。RAI 还与其他性行为（例如口交和插入肛交）有关。近期尝试过 RAI 的男性中有 23% 报告称有性交痛。性交痛与心理健康、对伴侣进行口交以及肠道功能呈负相关。绝大多数人在前列腺癌治疗前没有从医疗保健提供者处收到有关 RAI 功能丧失的信息。文化响应型癌症幸存者护理可能需要解决 GBM 前列腺癌幸存者 RAI 功能丧失的问题。