Table 1.
PC health domain | ||||
---|---|---|---|---|
Urinary | Sexual | Bowel | Vitality, general health | |
Symptom | Leaked urine, increased frequency, dysuria | Erectile dysfunction, compromised masculinity, poor libido, poor communication, unable to engage in sexual activity | Diarrhea, fecal incontinence, increased urgency to defecate, increased frequency, pain, hematochezia | Depression, fatigue, hot flashes, weight gain, metabolic syndrome |
Self-management strategy | Pelvic floor exercises (Kegels) [29–32] Bladder training (timed voiding) [33, 34] Fluid management (drinking) [35] Physical activity [36] Weight loss [37] Diet (avoid bladder irritants/caffeine) [38] Using a penile clamp [39] How to protect clothing and bedding [40] |
Partner communication Making time for and enhancing intimacy [41] Creative intimacy (non-penile) [42–46] Having an orgasm without erection/avoiding climacturia [47–49] Reduce alcohol and tobacco [50, 51] Using a vacuum erection device [52–55] (NOTE: medical strategy following self-management approach) |
Pelvic floor exercises (Kegels) [56, 57] Diet for softer stools (fiber) [58] Diet to avoid irritation Proper fluid intake Reducing painful bowel mvts Using OTC medications [58] Managing stress [59] |
Decrease fatigue [60, 61] Exercise Improve mood/depression Deal with weight changes [62] Deal with hot flashes [63] Evaluate breast or nipple tenderness |