title: Marital and sexual satisfaction in testicular cancer survivors and their spouses.
abstract: OBJECTIVE
  To compare marital and sexual satisfaction of men who survived testicular cancer (TC) and their spouses to a reference group, and to compare marital and sexual satisfaction of couples who had a relationship at time of diagnosis (couples during TC) to couples who developed a relationship after completion of treatment (couples after TC).
  
  
  METHODS
  Two hundred and nineteen couples during TC and 40 couples after TC completed the Maudsley Marital Questionnaire, a validated instrument to measure marital and sexual satisfaction.
  
  
  RESULTS
  Survivors and spouses of both couple groups reported similar marital satisfaction as men and women of the reference group. Survivors (t=2.9, p<0.01) and spouses (t=2.9, p<0.01) of couples during TC and survivors of couples after TC (t=1.9, p=0.05) reported less sexual satisfaction than the reference groups. Survivors of couples after TC reported less sexual satisfaction than survivors of couples during TC (F=4.0, p<0.05). Correlations between sexual satisfaction of survivors and spouses in couples during TC (r=0.76, p<0.001) and couples after TC (r=0.77, p<0.001) were high.
  
  
  CONCLUSIONS
  Testicular cancer did not appear to have a negative effect on marital satisfaction in couples during TC, although TC survivors and their spouses reported less sexual satisfaction than men and women of the reference group. Survivors who developed a relationship after completion of treatment seemed to form a vulnerable group: their sexual satisfaction was lower than that of men in the reference group and of TC survivors with a longer relationship. Besides that, they more often reported marital problems than their spouses did.
authors.affiliation: Department of Surgical Oncology, University Medical Centre Groningen, PO Box 30.001, 9700 RB Groningen, The Netherlands.
authors.forename: Marrit A
authors.initials: MA
authors.lastname: Tuinman
authors.forename: Joke
authors.initials: J
authors.lastname: Fleer
authors.forename: Dirk Th
authors.initials: DT
authors.lastname: Sleijfer
authors.forename: Harald J
authors.initials: HJ
authors.lastname: Hoekstra
authors.forename: Josette E H M
authors.initials: JE
authors.lastname: Hoekstra-Weebers
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage; D008875:Middle Aged; D017060:Patient Satisfaction; D011594:Psychometrics; D012735:Sexual Dysfunction, Physiological / Q000209:etiology*; D017741:Survivors; D013736:Testicular Neoplasms / Q000150:complications* / Q000628:therapy; D013997:Time Factors