url="https://www.youtube.com/watch?v=kBsHGO2iAY8

Lee, Tsz Kin; Handy, Ariel; Wassersug, Richard; Brotto, Lori; Kwan, Winkle; Oliffe, John; and Dowsett, Gary. (2014, October). The Impact of Prostate Cancer on the Sex Lives and Relationships of Men-Who-Have-Sex-With-Men (MSM): A Qualitative Study. Presented at the Gay Men's Health Summit, Vancouver, Canada. Over 1,200 Canadian MSM are diagnosed with prostate cancer (PCa) each year, and over 8,700 MSM have been living with the disease for the past 10 years. With early PCa diagnosis, the impact of PCa on sexual function has become increasingly important. However, there are few studies examining the impact of PCa treatments on sexual function for MSM. MSM (age range = 58-71, mean = 65) were recruited through advertising in newspapers, doctors? offices, and word of mouth. Individual 45-60 minute semi-structured interviews took place live (n = 11) or via internet-based video conferencing (n = 2). Sexual function, sexual quality of life, and relationships before and after treatment, were discussed. Interviews were recorded, transcribed, coded independently by the investigators, and analyzed with NVivo. Sexual practices before treatment range from masturbation, oral sex, and anal sex in order of frequency, and remained the same after treatment. Overall sexual satisfaction decreased, especially for participants with urinary incontinence and erectile dysfunction. Many men described orgasms after treatment as feeling ?incomplete? due to lack of ejaculate. Some single men or men in open relationships reported a loss of confidence or difficulty meeting other men after treatment. More information from physicians could have helped participants better deal with side effects, however participants showed resilience by continuing to engage in sexual activities and had a positive view of their life after treatment. The adverse impact of PCa treatments on sexual function for MSM can be a barrier to developing new relationships. As an issue in informed consent, MSM should be made aware of how PCa treatments can affect their sex lives. We intend to continue this research in order to develop a questionnaire to help MSM and their physicians make the best treatment choices when these men are diagnosed with PCa.

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