An evaluation of a therapeutic radiographer led “sexual care after radiotherapy” clinic

• Published in: Radiography (London, England. 1995) Vol. 27; no. 3; pp. 897 - 902
• Main Authors: Nisbet, H., Caulfield, L., Holloway, E.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.08.2021
• Subjects: Consequences of treatment; Patient experience; Radiotherapy late effects; Sexual dysfunction; Radiotherapy late effects; Sexual dysfunction; Patient experience; Consequences of treatment
• ISSN: 1078-8174; 1532-2831
• DOI: 10.1016/j.radi.2021.02.009

Changes to sexuality and intimacy are a common consequence of a cancer diagnosis and treatment. Difficulties with sexual functioning and body image have been reported in over 50% of those treated for pelvic malignancies or breast cancer. The provision of sexual care support after radiotherapy is not adequately addressed by oncology professionals yet patients who have the opportunity to discuss sexual issues experience reduced sexual morbidity. This paper describes the evaluation and patient satisfaction of a novel and innovative clinic led by therapeutic radiographers for the management of sexual dysfunction. Quantitative data was collected from NHS Friends and Family Test (FFT) patient questionnaires to assess how patients rated the service on a scale from not likely to extremely likely to recommend the service. A qualitative, thematic analysis of the comments provided insight into patient satisfaction and experience. Overall, 33 patients attended the clinic from 2019 to 2020. An 82% return rate of FFT questionnaire's showed 94% of patients were extremely likely and 6% were likely to recommend the service. Three emergent themes were the quality of information provision, the conduct of the staff member and the consultation experience. Patients stated that they were given a range of solutions and many cited a better understanding of their sexual issues. Sexual function is an important component of quality of life and sexual dysfunction can cause on-going distress, interfering with recovery. This clinic offers an opportunity to discuss issues and provides an important mechanism of support for patients to live with and beyond their cancer diagnosis. Oncology professionals should receive training and education to raise sexual issues with their patients and ensure relevant services are provided.