Prostate Cancer Research Study

Have you or your partner had treatment for Prostate Cancer in the last 1-5 years? We are looking for South African men who have had either a Prostatectomy OR Radiation Therapy (Brachytherapy or External Beam Radiation).

If this sounds like you or your partner, we would be grateful if you could complete this survey, it should only take 10-15 min of your time.

About the Researchers

My name is Pierre Röscher, and I am part of a research team at the Clinical Urology department at the Nelson R Mandela School of Medicine, UKZN. The research team includes urologists, physiotherapists and professional researchers. This study forms part of my PhD that I am completing related to Prostate Cancer side effects. I can be contacted via email if you require any additional information: pierre.roscher@gmail.com

About the Study

We are investigating sexual side effects after Prostate Cancer treatment, and how they impact patients. We are looking for participants to complete a set of demographic questions such as age and race, procedure details and general health, as well as some more specific questions relating to the impact of sexual side effects after Prostate Cancer treatment.

Ethical Clearance to Conduct the Study

This study has obtained full ethical clearance.

This study registration is BREC/00000478/2019.

If you have any concerns, you are welcome to contact the research office at: BIOMEDICAL RESEARCH ETHICS ADMINISTRATION, Research Office, Westville Campus, Govan Mbeki Building, Private Bag X 54001, Durban, 4000, KwaZulu-Natal, SOUTH AFRICA, Tel: 27 31 2604769 - Fax: 27 31 2604609. Email: BREC@ukzn.ac.za

STUDY INCLUSION CRITERIA

Inclusion Criteria: Participants who qualify for inclusion in this study will meet the following criteria.

Participants must have undergone treatment for Prostate Cancer consisting of radical prostate surgery (Prostatectomy) or prostate radiation (Brachytherapy or External Beam Radiation) in the last 1-5 years.
Participants must be aged between 45 and 75 years.
Participants must be South African, and have had their treatment in South Africa.
Patients must be able to understand, read and write in English.
Participants must be otherwise medically stable.
Participants must consent to partake in the study.
Participants must not have any of the exclusion criteria.

STUDY EXCLUSION CRITERIA

Exclusion Criteria- Participants who are ELIGIBLE to participate MUST NOT have had any of the following ·

Erectile dysfunction due to other conditions before being diagnosed with Prostate Cancer.
Incontinence due to other conditions before being diagnosed with Prostate Cancer.
Previous nerve conditions of the lower spine causing any pelvic pain, incontinence or erectile dysfunction.
Previous pelvic trauma/fractures.
Other cancers of the spine, vital organs and or pelvis.
Undergoing treatment for any other type of cancer.

With reference to the inclusion and exclusion criteria, please assess if you meet the requirements and continue with the survey. If you do not meet the criteria to continue as a participant, then we wish you well in your recovery and thank you for your willingness to help us.

Consent

By completing this questionnaire, you consent to participate in this study. You understand that you may withdraw at any point, and you understand that you will not be compensated for your participation in this study. You understand that the information provided in this survey is anonymous, but the collective results may be used as part of an academic publication in a medical journal.

Who is completing this questionnaire?*

You are completing this questionnaire by yourselfYou are completing this questionnaire with your partner/spouseYou are completing this questionnaire on behalf of your partner, based on their experience. (Please complete the information based on your partner.)

Email: Please note that the only reason for requesting your email details is for us to differentiate between different participants and to identify duplicate surveys.*

example@example.com

Date of Birth*

Date

Race*

In which province did you receive your Prostate Cancer treatment?*

Did you receive your Prostate Cancer treatment in the private or government sector?*

Private sectorGovernment SectorBoth Private and Government Sector (Please elaborate)

Please elaborate if you had your treatment in both the private and government sector.

Indicate the type of treatment you have received and indicate how long ago the treatment was done*

How long ago did you receive your treatment?*

What was the stage of your Prostate Cancer and your Gleason Score immediately before you received your treatment? (if you are unsure leave blank)

What was the confirmed stage of your Prostate Cancer and your Gleason Score after you received your treatment? (if you are unsure leave blank)

Are you currently on medication to treat Hypertension?*

YesNo

If YES, please specify the name of the medication/s and the dosage/s

Are you currently on medication to treat Depression?*

YesNo

If YES, please specify the name of the medication/s and the dosage/s

Are you on medication to treat Diabetes?*

YesNo

If YES, please specify the name of the medication/s and the dosage/s

Other- Please specify

Were you Sexually Active before your treatment for Prostate Cancer started?*

Yes, with a partnerYes, but without a partnerYes, with a partner and without a partnerNo, not at all

If YES, did you require any of the following

Other-Please specify

Are you currently Sexually Active*

Yes, with a partnerYes, but without a partnerYes, with a partner and without a partnerNo, not at all

Have you used medication before to treat Erectile Dysfunction after your treatment?*

YesNo

Are you currently on medication to treat Erectile Dysfunction (Viagra/Cialis, other etc) ?*

YesNo

If YES, please specify the name of the medication/s and the dosage/s

What is your perceived effectiveness of the above mention drug/drugs if applicable (choose one)?

Have you ever used a vacuum erectile device (penis pump) after your treatment for Prostate Cancer?*

YesNo

Are you currently using a vacuum erectile device?*

YesNo

If YES, what is your perceived effectiveness of the vacuum erectile device if applicable (penis pump)?

Are you currently using Penile Injections ?*

YesNo

If YES, what is your perceived effectiveness of the Penile Injections (if applicable)?

Are you currently using a Penile Prosthesis?*

YesNo

If YES, what is your perceived effectiveness of the Penile Prosthesis (if applicable)?

Have you had any involvement (participated) in support groups after your Prostate Cancer treatment?

YesNo

Have you had any treatment sessions with a Psychologist after your Prostate Cancer treatment to help you with your recovery?

YesNo

Prostate Cancer Research Study

PART A: Demographic Information

* Please complete the details for the patient in the rest of the survey if you are completing this on behalf of someone else.

Part B: The Neglected Sexual Side Effects After Prostate Cancer Screening Tool

PART C

Thank you for taking the time to help us with our important research.