title: Psychosocial implications and the duality of life outcomes for patients with prostate carcinoma after bilateral orchiectomy.
abstract: OBJECTIVE
  The study presented focuses on patients' psychosocial status after a prostate cancer diagnosis that underwent a bilateral orchiectomy.
  
  
  METHODS
  We evaluated the psychosocial implications of 89 patients with prostate cancer after performing castration and a bilateral orchiectomy.
  
  
  RESULTS
  Patients suffered significantly more from sleep disorders during hospitalisation when compared to their time prior to an orchiectomy (p<0.0005). There were some increases in the severity of sleep disorder after discharge (level of evidence p<0.05). However, no additional medications for sleep disorders were required. Additionally, there was a significant reduction in the abuse of medication (p<0.001). Ten per cent of the patients were in the care of a psychologist or a psychiatrist before their diagnosis, and 21% asked for the help of a psychologist or a psychiatrist after having a bilateral orchiectomy. The occurrence of mood disorders is also very different than the occurrence of sleep disorders. Mood disorders occurred much less often after orchiectomy and discharge (p>0.085) compared with the period before surgery. Forty per cent of the patients had mood disorders before their operation, while only 37% still had these after discharge. There was a significant decrease in abuse of medication for anxiety. Twenty-four per cent of the patients took medication during hospitalisation, and only 10% continued after orchiectomy.
  
  
  CONCLUSIONS
  The results of the study show that patients who were notified about their cancer diagnosis, particularly their health status, exhibited moderate stress and psychological impact.
authors: Department of Urology, MedicaCharles University and Teaching Hospital, Hradec Králové, Czech Republic.
authors: Miroslav
authors: M
authors: Louda
authors: Martin
authors: M
authors: Valis
authors: Jaroslava
authors: J
authors: Splichalova
authors: Jaroslav
authors: J
authors: Pacovsky
authors: Baker
authors: B
authors: Khaled
authors: Miroslav
authors: M
authors: Podhola
authors: Jan
authors: J
authors: Jansa
authors: Lucie
authors: L
authors: Hasenohrlova
authors: Pavel
authors: P
authors: Kunc
authors: Milos
authors: M
authors: Brodak
mesh_terms: D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D001008:Anxiety Disorders / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy / Q000379:methods / Q000523:psychology*; D010166:Palliative Care / Q000523:psychology; D017060:Patient Satisfaction; D011471:Prostatic Neoplasms / Q000523:psychology* / Q000601:surgery*; D011584:Psychology; D011788:Quality of Life / Q000523:psychology*; D013315:Stress, Psychological / Q000523:psychology*; D013405:Suicide / Q000523:psychology