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Prostate cancer: management of sexual needs starting from the diagnosis


Speaker: Woet Gianotten

Content and aim:

This webinar will follow the course of 3 men with prostate cancer. It will focus on the wide variety of sexual disturbances that can happen during the treatment for prostate cancer and how to deal with those disturbances. It will address the different stages of prostate cancer treatments; from sexual prehabilitation (before the treatment starts) to late sexual rehabilitation. It will cover the sexual consequences of different treatment strategies (radiotherapy, surgery and androgen deprivation). It will focus on the treatment consequences for the different love-maps (i.e. ‘what people prefer to do sexually’) and for different sexual orientations. It will also address how to deal with partner aspects and couple aspects and provide clues on how to support in keeping the sexual relationship as good as possible.


Woet Gianotten is a retired MD-psychotherapist (emeritus Senior Lecturer in Medical Sexology at the University Medical Centres of Utrecht and Rotterdam, the Netherlands). In the first part of his medical career he was trained in surgery and obstetrics and worked for 5½ yrs in West and East Africa. When intern to become a gynecologist, he discovered the then new and fascinating field of sexology, which made him switch career and become a sexologist. In the late 1970’s and early 1980’s the field of ‘sexual medicine’ didn’t exist yet and the sexologist was supposed to cover every sexual problem. Partly because his medical background and partly because of the emotional burden of the tsunami of sexual abuse we had in the period 1982-1995, he left ‘common sexology’ and focused on ‘medical sexology’ (where chronic diseases, physical impairment, cancer and medical interventions are important factors both in the development and in the maintaining of sexual disturbances). For two decades he has been co-developing the field of oncosexology and of physical rehabilitation sexology. Whereas he was teaching for several decades on ‘aging and sexuality’, the current changes in society and his own aging made him aware of the importance of this area, which he now calls: ‘gerontosexology’. He tends to look for trails where most professionals don’t go. Those are partly diseases where nobody yet appeared to address sexuality. An example is ‘Hemophilia and sexuality’. There are also sexual unmet needs in areas because they are surrounded with taboo. One example is ‘Sexuality at the end of life’. Another example are the dating and sexual needs of people who are physically so impaired that they cannot find a partner or somebody for a sexual encounter. That is the area asking for medically trained sex workers. At the start of 2018 he stopped working with patients in physical rehabilitation. Since then he is fully concentrating on various aspects of teaching. He has expertise in the areas of: • Oncosexology • Physical rehabilitation sexology • Sexual problems in chronic diseases • Gerontosexology • Reproduction sexology with focus on (in-)fertility and pregnancy.

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