Improving sexual health in men with prostate cancer: randomised controlled trial of exercise and psychosexual therapies
Open accessAbstract
BACKGROUND: Despite being a critical survivorship care issue, there is a clear gap in current knowledge of the optimal treatment of sexual dysfunction in men with prostate cancer. There is sound theoretical rationale and emerging evidence that exercise may be an innovative therapy to counteract sexual dysfunction in men with prostate cancer. Furthermore, despite the multidimensional aetiology of sexual dysfunction, there is a paucity of research investigating the efficacy of integrated treatment models. Therefore, the purpose of this study is to: 1) examine the efficacy of exercise as a therapy to aid in the management of sexual dysfunction in men with prostate cancer; 2) determine if combining exercise and brief psychosexual intervention results in more pronounced improvements in sexual health; and 3) assess if any benefit of exercise and psychosexual intervention on sexual dysfunction is sustained long term. METHODS/DESIGN: A three-arm, multi-site randomised controlled trial involving 240 prostate cancer survivors will be implemented. Participants will be randomised to: 1) 'Exercise' intervention; 2) 'Exercise + Psychosexual' intervention; or 3) 'Usual Care'. The Exercise group will receive a 6-month, group based, supervised resistance and aerobic exercise intervention. The Exercise + Psychosexual group will receive the same exercise intervention plus a brief psychosexual self-management intervention that addresses psychological and sexual well-being. The Usual Care group will maintain standard care for 6 months. Measurements for primary and secondary endpoints will take place at baseline, 6 months (post-intervention) and 1 year follow-up. The primary endpoint is sexual health and secondary endpoints include key factors associated with sexual health in men with prostate cancer. DISCUSSION: Sexual dysfunction is one of the most prevalent and distressing consequences of prostate cancer. Despite this, very little is known about the management of sexual dysfunction and current health care services do not adequately meet sexual health needs of survivors. This project will examine the potential role of exercise in the management of sexual dysfunction and evaluate a potential best-practice management approach by integrating pharmacological, physiological and psychological treatment modalities to address the complex and multifaceted aetiology of sexual dysfunction following cancer. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry ACTRN12613001179729.
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Limited high-quality trial data with nausea as a primary endpoint support exercise benefit, except for an early study by Winningham et al.
“there is limited data from high quality trials with nausea as a primary endpoint to support this finding outside of an early study demonstrating a reduction by Winningham et al.(62).”
From Exercise Guidelines for Cancer Survivors: Consensus Statement from International Multidisciplinary Roundtable (2019) · cites this paper as [62]
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Self-citationA PERCEPÇÃO DE HOMENS E COMPANHEIRAS ACERCA DA DISFUNÇÃO ERÉTIL PÓS-PROSTATECTOMIA RADICAL
Azevedo, C., da Mata, L. R. F., Braga, P. P., Chávez, G. M., Lopes, M. R., & Penha, C. D. S. (2018) · Texto & Contexto - Enfermagem · doi:10.1590/0104-070720180004870016 · Cited by 8 · see citing works
Chung, E., & Rhee, H. (2021) · The World Journal of Men s Health · doi:10.5534/wjmh.210032 · Cited by 6 · see citing works
Reddy, K. T. K., Krishnan, K., Shanmugasundaram, P., Ronald Darwin, C., Pandian, B., Saravanan, G., Jaganath, P., & Ganesan, S. (2024) · Intelligent Pharmacy · doi:10.1016/j.ipha.2024.07.001 · Cited by 3 · see citing works
Multilevel interventions to address sexual health challenges in men with prostate cancer
Phahlamohlaka, N. M., & Mdletshe, S. (2022) · South African Journal of Oncology · doi:10.4102/sajo.v6i0.243 · Cited by 2 · see citing works
Palacios, L. A. G., Krouwel, E. M., Oudsten, B. L. D., den Ouden, M. E. M., Kloens, G. J., van Duijn, G., Putter, H., Pelger, R. C. M., & Elzevier, H. W. (2017) · Tijdschrift voor Urologie · doi:10.1007/s13629-017-0172-5 · Cited by 2 · see citing works
What contributes to promote sexual health in cancer palliative care? A realist review
Donz, R., Russia, B., Barbaret, C., Braybrook, D. E., Perceau-Chambard, É., Reverdy, T., & Economos, G. P. S. (2024) · Sexual Medicine Reviews · doi:10.1093/sxmrev/qeae008 · Cited by 1 · see citing works
Psychosexual Care and Integration Back into Society
Goonewardene, S. S., & Persad, R. A. (2018) · Springer eBooks · doi:10.1007/978-3-319-65358-7_31
Systematic Review: Post Prostate Cancer Surgery and Psychosexual Care
Goonewardene, S. S., & Persad, R. A. (2018) · Springer eBooks · doi:10.1007/978-3-319-65358-7_21
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The effects of an educational intervention on exercise advice behaviours of Thai oncology nurses
Witwaranukool, P. (2022) · Queensland University of Technology · doi:10.5204/thesis.eprints.228685
Goonewardene, S. S., & Persad, R. A. (2018) · Springer eBooks · doi:10.1007/978-3-319-65358-7_72
Advances in Erectile Dysfunction Management: What Does Work
Shen, J., Park, D., Bash, J. C., & Andino, J. J. (2026) · Trends in Urology & Men s Health · doi:10.1002/tre.70027
Wen, Z., Ding, F., X, X., & Zhu, Y. (2026) · The Journal of Sexual Medicine · doi:10.1093/jsxmed/qdag170
Ayoson, J., Schneider, N., Casanova, B., Kleijkers, L. M. P., Siragusa, L., Müller, N., Tomar, R., Rothschild, S. I., Gut-Fischer, K., Haegler-Laube, E., et al. (2026) · Scientific Reports · doi:10.1038/s41598-026-61527-1
- Authors
- Cormie, P., Chambers, S. K., Newton, R. U., Gardiner, R. A., Spry, N., Taaffe, D. R., Joseph, D., Hamid, M. A., Chong, P., Hughes, D., Hamilton, K., & Galvão, D. A.
- Affiliations
- Edith Cowan University (AU)
- Griffith University (AU)
- Corresponding author
- Cormie, Prue
- ORCID
- Venue
- BMC Cancer
- Published
- 2014-03-18
- Volume
- 14
- Issue
- 1
- Pages
- 199-199
- ISSN
- 1471-2407 (ISSN-L)
- PMC
- PMC3995188
- OpenAlex
- W2167818742
- Cited by
- 30
- References
- 71
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2019: 2 · 2018: 9 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Cancer (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion, other-oa)
- Research Bank (Australian Catholic University) (submittedVersion, cc-by)
- Australasian Journal of Paramedicine (submittedVersion, cc-by)
- Research Online (University of Wollongong) (submittedVersion)
- Figshare (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion, cc-by)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Funders
- Prostate Cancer Foundation
- Movember Foundation
- Prostate Cancer Foundation of Australia
- Medical Research Council
- National Health and Medical Research Council (1067696)
- Cancer Council Western Australia
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
- Keywords
- prostate cancer, sexual dysfunction, sexual health, exercise therapy, prostate cancer survivors, survivorship care, long-term treatment efficacy
- MeSH terms
- Combined Modality Therapy, Exercise Therapy, Humans, Male, Prostatic Neoplasms, Quality of Life, Self Care, Sexual Dysfunction, Physiological, Social Support, Treatment Outcome, Sexual Dysfunctions, Psychological, Reproductive Health
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