Identifying the psychosexual implications of radical radiation treatment in prostate cancer

The purpose of this study was to determine whether there was any evidence of psychosexual morbidity among men who experienced radical radiation treatment for prostate cancer. With relatively little known or available retrospective data on the psychosexual implications of radical radiation treatment in men with prostate cancer, this study posited eight research questions which provided the basis for the research. Fifty men from Southern Ontario, between the ages of 52 to 78 years, were included in the study. They had been previously randomized to a clinical trial comparing radical radiation therapy by external beam radiation, or radical radiation using a combination of a temporary iridium implant plus external beam radiation, for localized or locally advanced prostate cancer. Assessment of sexual functioning, drive, attitudes, body image, and sexual satisfaction was drawn from a multidimensional approach, since psychosexuality was viewed as having an impact on biological, psychological, and sociological domains of functioning. Medical chart reviews, semi-structured interviews, demographical profiles of each participant, and the Derogatis Sexual Functioning Inventory (DSFI) were the methods used to collect data over a four-month period. Both quantitative and qualitative research methods were incorporated in the design and evaluation of the study. Frequencies, contingency analysis, Pearson's coefficient of correlation, t-tests, and ANOVA comprised the quantitative analysis. Data obtained from audio-taped interviews were analyzed qualitatively, and used for offering further insight and for facilitating the quantitative aspect of the analysis. Overall, there was sufficient evidence to suggest psychosexual morbidity among men who were treated with radiation therapy for prostate cancer. As well,there were a number of significant findings available to answer all of the posited research questions. The most significant findings were noted in post-treatment erectile ability and sexual activity. A post-treatment change in erectile ability was reported by eighty percent of men. Sixty percent of men noted a decrease in their ability to achieve an erection by reporting some morning stiffness only, penile rigidity insufficient for penetration, decreased control of erection, and loss of spontaneous erection. Other contributing factors associated with change in erectile status were: pain or altering sensation of orgasm, blood in ejaculate, pain and decreased amount of ejaculate, and penile numbness or pain. Eighty-two percent of men experienced a post-treatment change in sexual function, primarily due to the impact of decreasing erectile status. Only seven men reported that they experienced a decrease in desire mentally, whereas the vast majority did not experience any change in desire. Changes in foreplay, stress with optimal sexual positioning, and reduced spontaneity of sex, were other factors reported with the changes in sexual activity. The findings in this study broaden our understanding of what middle- to later-aged men feel and experience as they venture onward following treatment. This was the first study that evaluated available prospective data on pre-treatment erectile status and sexual activity. As well, this study was the first (with participant compliance rates of 100 percent) to have included an interview format to capture the views of such a large number of men. This study concluded with recommendations and implications for future research and practice as we move in the direction of understanding what is necessary for preserving psychosexual well being and enhancing quality of life in men treated with radiation therapy for prostate cancer.

Annual report of the Commissioners of the State Reservation at Niagara, 1904-1905.

Report year irregular.

Annual report of the Commissioners of the State Reservation at Niagara, 1905-1906.

Report year irregular.

Niagara Parks Commission annual report, 1905.

Printed by Order of the Legislative Assembly of Ontario.

City of Niagara Falls Plans, 1846, 1877, 1884, 1886, 1889-1890, 1892-1894, 1903-1905, 1910, 1914, 1919, 1925, 1927-1928, n.d.

The collection consists of 37 plans, surveys or maps of the City of Niagara Falls beginning in 1846 until 1928. Some of the plans were created for the Falls Company, a group of land speculators that included Buchanan, Murray, Street, Allen, Robinson and others. Other plans relate to the building of the suspension bridge and the railway. Some plans and drawing may refer to estate documents in RG 167 Niagara South estate and legal documents collection. Item 22 has been scanned for preservation purposes.

Proceedings : Grand Lodge, A.F. & A.M. of Canada in the Province of Ontario - 1905

On spine : The Grand Lodge of Canada in the Province of Ontario.

Proceedings : Grand Lodge, A.F. & A.M. of Canada in the Province of Ontario - 1997

On spine : The Grand Lodge of Canada in the Province of Ontario.

Brock University Retirees Association fonds, 1997-2005

The Brock University Retirees Association was established in 1997. The Association seeks to provide retirees of the University with a forum that encourages them to maintain friendships; to keep its membership informed on matters concerning pension and benefits, and provide input as required; to assist the University with events in a mutually beneficial manner; and to provide retirees with other enrichment opportunities.

Welland Canal/St. Lawrence Seaway Authority fonds, 1826-1880, 1905-1951

The Welland Canal Company was formed in 1824 by William Hamilton Merritt. Construction of the first Welland Canal began in 1829 and was completed in 1834. The canal ran south from Port Dalhousie along Twelve Mile Creek to St. Catharines. An extension was built in 1833 to Gravelly Bay, now Port Colborne. As ships became larger and the wooden locks deteriorated, the need for a new canal became apparent. In 1839, the government purchased the Welland Canal Company’s assets and began making plans for the construction of a second canal. Construction began in 1841 and was completed by 1845. In 1887, a third Welland Canal was completed, which operated until 1932, when a fourth canal was completed. This canal remains in operation today.

Letter - A.M. Grier to Mr. Dunn, 15 December 1905

A letter from A. Monro Grier to Mr. Dunn, a farmer in the township of Bertie, discusses an agreement to sell land to Canadian Niagara Power for a sum of $600. A stamp across the side of the letter reads "Old Kent Pond".

Statistics of Manufacturers for the year 1905 - Canadian Niagara Power Company

A census form for the year 1905. The form was approved by the Governor General in Council January 22, 1906.