Sexual health in colon cancer patients: a systematic review
A partir d’une revue systématique de la littérature publiée entre 2009 et 2019 (14 études), cette étude analyse les facteurs associés à la qualité de la vie sexuelle chez des patients atteints d’un cancer du côlon
Objective : Despite the impact that diagnosis and treatment can have on patients’ sexual health, very little research has been conducted on the impact of colon cancer on sexual health. The aim of this systematic review was to assess the prevalence of sexual dysfunctions in colon cancer and describe the sociodemographic, clinical and psychological correlates of sexual dysfunction. Methods : Four electronic databases (PsycINFO, PubMed, AcademicSearchPremier, Cochrane Library) were searched for studies reporting sexual adjustment outcomes for colorectal cancer patients from January 1990 to July 2019. Results : Of the 380 articles screened, 14 were included in this review. Sexual function is affected by colon cancer: patients’ sexual satisfaction decreases significantly, as does the frequency of sexual intercourse. There is an increase in sexual problems (desire, excitement or pleasure disorders). Male gender, advanced age, distress and the comorbidities increase sexual disorders. In addition, it appears that partner distress negatively affects patients’ sexual health. Taking such difficulties into account appears key for these patients and their partners. They could benefit from better care throughout treatment and in remission. Conclusion : The results of this systematic review highlight the importance of taking an interest in the sexual health of patients with colon cancer.