Men. , Men.Stonewall, 2015, Unhealthy Attitudes: Prostate Cancer 2013, UK, Exploring the Needs of and Bisexual Men Dealing with Prostate Cancer: radiotherapy patients during treatment: Radiography, v. 23, p.87 https://www.macmillan.org.uk/_images/sharing Affected by Cancer: e211. Fish Williamson J, (2018) I Exploring , gay and bisexual patients’ accounts their of experiences cancer care of Blank TO(2005) menand Gay prostate cancer: invisible diversity. Journal Clinical of Oncology. 2593 23, References: ESTRO38 E - EP-2206 mail: mail: . (Prostate (Prostate UK,Cancer 2012) they would like members were then instructed to review summary the document in order to see if each question. This email also contained a link to the second question round. Panel summarising results, the along with reminder a of how they previously answered Upon completion of the question first round panel members were sent document a . . about their clinical practice: In question round one panel members were also asked the following questions . . . investigations and treatments: This study used Cancer UK,and the Gay and Lesbian Association and of Doctors Dentists (GLADD). Association of Urological Surgeons, the British Uro were recruited with assistance from The RoyalCollege of Radiologists, The British who specialise in the diagnosis and treatment of prostate cancer. Panel members consensus opinion from a panel of 15 clinical oncologists and 11 urological surgeons A modified Delphi technique using two question rounds was employed to generate (Nightingale (Nightingale 2017 et al., they do provide not any guidance to men in relation to anal post sex radiotherapy in the UK, 92% of the radiotherapy departments surveyed said that national audit on the management of prostate cancer patients undergoing advised to speak health to a professional more for information. Conversely, in a evidence no specific timeframes could be provided and men were therefore investigations and treatments prostate for cancer. However, due to a lack of would be sensible to abstain from receiving anal sex before, during, and after bisexual men’ (Prostate Cancer 2018). UK, This publication advised men that it recently updated to ‘Prostate cancer tests and treatment: A guide gayfor and booklet ‘Prostate facts for gay and bisexual men’ (Prostate Cancer 2014), UK, In 2014 Prostate Cancer UK published the first edition their of patient information Figure 1:Prostate Cancer UK publications: . . . cancer support groups for gay and bisexual men were setup: (Blank, 2005, Fish & Williamson, 2018). Following on from this three prostate develop targeted information and support Cancer UK,2012). The discussions held on the day recognised the need to exploring the needs gay of and bisexual men with prostate cancer (Prostate (LGBT) rights charity Stonewall held a one day workshop in London In September 2012 Prostate Cancer and UK lesbian, the gay, bisexual and before, before, during, and after investigations and treatments for prostate cancer. To develop guidance UK on how long men should abstain from receiving anal sex https://www.macmillan.org.uk/documents/aboutus/research/inclusionprojects/experiencesoflgbtpeople.pdf [email protected] you ask you ask them if they have anal sex? youIf are aware that one of yourprostate cancer patients is gay bisexual or do orientation? How often do you ask prostate cancer patients questions about their sexual about anal sex after radical radiotherapy. Please explain the clinical rationale your for answers to the previous questions of radical radiotherapy? How long should men abstain from receiving anal after sex completing a course course of radical radiotherapy? In youropinion should men abstain from receiving anal sex after completing a LGBT Walnut at METRO in Out with Prostate Cancer Midlands at Out with Prostate Cancer LGBTat the Foundation in https://www.stonewall.org.uk/sites/default/files/unhealthy_attitudes.pdf - good Sean Ralph RTT track:Patient care,sideeffectsand communication - practice to to the following following the change change their previous answers based on group the feedback. - spring - 93. 93. Prostate Cancer UK,(2018), Prostate cancer and tests treat - 2017_tcm9 Anal Sex FollowingTreatments for Prostate Cancer? Sean Sean Ralph, On Treatment Review Advanced Practitioner, The Clatterbridge Cancer Centre NHS Foundation Trust ). - 322255.pdf (Prostate (Prostate UK,Cancer 2014) three three part question throughout format each for of the How Long Should Men Abstain from Receiving Introduction Nightingale, Nightingale, R. Conroy,H., T. P.J. Elliott, C. Coyle, Wylie, and A.Choudhury, 2017, A national survey current of practices Objective Dr Dr Clifford Richardson, Division ofNursing, Midwifery& Social Work, University ofManchester - Method 2596. https://prostatecanceruk.org/media/1798529/gay_and_bisexual_men_dealing_with_pc_report.pdf Bolderston Stonewall, Stonewall, 2018, LGBT in Health Britain: Report: London London (est. 2014) Birmingham Birmingham resources resources for , Ralph, A., and S. 2016, Improving the health care experiences of lesbian, gay, bisexual and transgender patients: Radiograp in in the UK. European European the UK.Journal of Cancer Care. 27, 1 Macmillan Macmillan Cancer Support, 2017, Supporting Lesbian, Gay, Bisexual, and Transgender People Affected by Cancer: ment: A guide gay and for bisexual men: - oncology Group, Prostate LGBT this group group this of patients (Prostate (Prostate UK,Cancer 2018) Manchester 2013) (est. https://www.stonewall.org.uk/sites/default/files/lgbt_in_britain_health.pdf Centre Centre (est. 2014) https://www.prostatecanceruk.org/media/2492023/guide_for_gay_and_bisexual_men - 1. 1. Macmillan Cancer Support, 2015, No Overlooked: One Experiences of LGBT People - treatment Prostate Prostate Cancer UK, 2014, Prostate Gay Facts for and Bisexual o f preparation f preparation and management radical of prostate DOI: 10.3252/pso.eu.ESTRO38.2019 hy, v. 22, e207 p. . . . . Following Following additional consultation with brachytherapy medical physics experts the biopsies depending on whatroute the fiducial markers are inserted (figure prostate biopsy would it seem sensible to mirror advice the produced for prostate brachytherapy. Given the similarities between the insertion fiducial of markers and a receiving anal sexinsertion after the of fiducial markers and permanent seed Panel receiving sex…?” anal men from abstain shouldlong Figure anal anal sexthey are if aware one that of their patients is gay bisexual. or questions about their sexual orientation. Similarly only (2/26) 8% said they ask about cancer (table 1) only 12% (3/26) said they alwaysprostate ask cancer patients receiving anal sex before, during, and after investigations and treatments prostatefor Despite the majority of panels members agreeing that men should abstain from following advice was agreed upon permanent for seed brachytherapy: publications publications this study has been used by Prostate Cancer to update UK their patient partners; and to minimise risk the of post test; manage their side effects appropriately; minimise radiation exposure sexual to and treatment prostate for cancer in order to Men should abstain from receiving anal sex before, during, and after investigations brachytherapy brachytherapy to treat your prostate cancer, there is a risk that your partner might be Whilst Whilst undergoing a course of external beam radiotherapy? - ifm.pdf exposed exposed to some radiation during sex. Your doctor may suggest you avoid having After completing a course of external beam radiotherapy? Table 1: Consensus menfor abstain table receiving “shouldfrom sex?” anal care care to gay and bisexual men with prostate cancer (Stonewall, 2015). knowledge and communication skills necessary to provide culturally competent students and qualified health professionals in to order equip withthem the The previous three recommendations should be supported bytraining for information badges/lanyards, displaying hospital non at ease therefore facilitating sexual orientation disclosure e.g. Pride flags/pin Simple changes clinical to the environment can help gayto put and bisexual men cancer (Stonewall, 2018, Macmillan Cancer Support, 2015). publications are inclusive of needs the of gay and bisexual men with prostate Healthcare providers should ensure that their own patient information (Macmillan Cancer Support, 2017). appropriate advice and support following diagnosis a of prostate cancer and sexual practice in order to ensure that men who engage in anal sex receive Clinicians should include in their history taking questions about sexual orientation anal anal sex in the “If you're “If you're receptive the partner in anal sex and you’ve had permanent seed - members members failed to reach consensus on how long men should abstain from 2: necessarily those ofNHS, the Department the NIHRorthe of Health Programme. views The expressed are those of the and authors not Institute for(NIHR)’s Health Research Integrated Clinical Academic This is a of summary independent funded research by the National Following Consensus “howfor Should men abstain from receiving anal sex: (Prostate (Prostate Cancer UK,2018). resources resources (Bolderston & Ralph, 2016). Following permanent seed brachytherapy? After completing brachytherapy? Following high Following high external beam radiotherapy? a transrectal ultrasound guided biopsy? a course a course of first first monthssix presented 2 months 2 months ( dose dose rate After the insertion of fiducial markers? ( n n = Poster 27% 60% = 4 / 15) Following a radical prostatectomy? 3 / 5) Following a transperineal biopsy? Recommendations at: ( Prostate Prostate Cancer UK,2018) - - dose rate brachytherapy? Conclusion receiving anal abstain abstain from should men Results prostatectomy? after after having permanent seed brachytherapy.” How long Before a PSA Following a ( ( n sex… 6 weeks n 1 week =15 =15 /26) radical radical = Test? - 45% 58% intervention complications. 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