Telehealth sex therapy with pelvic floor physical therapy for urinary and sexual recovery after prostate cancer treatment

You may qualify if

• Age 18 years or older.
• Biopsy-confirmed localized prostate adenocarcinoma.
• Treated with nerve-sparing radical prostatectomy, radiotherapy, or cryoablation as primary index therapy for prostate cancer at Duke Health.
• Initiating pelvic floor physical therapy as part of routine clinical care.
• Pre-treatment International Index of Erectile Function-5 (IIEF-5) score meeting the eligibility threshold, with or without aids, determined by medical record chart review (when documented within 4 months prior to index treatment) or collected post-treatment with participant recall anchored to the month prior to treatment. Eligibility threshold for the IIEF-5 is at or above 17.
• Able to read and understand English to complete patient-reported outcome measures.
• Ability to provide informed consent.

You can't join if

• Any androgen deprivation therapy (ADT) given for prostate cancer treatment or planned during the intervention or follow-up period, including neoadjuvant, concurrent, or adjuvant ADT.
• Recieved non-nerve-sparing treatment (when applicable).
• Unable to engage in pelvic floor physical therapy or penile rehabilitation protocol.
• Need for additional or secondary prostate cancer treatment during the intervention period.
• Documented cognitive impairment or impairment that would interfere with participation.
• Major psychiatric concern that would interfere with ability to consent or participate, such as schizophrenia, based on the medical record or treating clinician assessment.
• Inability to complete study video visits or questionnaires.
• History of prior local or systemic treatment for prostate cancer