Backhouse Spriggs, Tabitha; (2024) Experiences After a Radical Cystectomy for Bladder Cancer: An Interpretative Phenomenological Analysis. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Abstract

Aims: This review aimed to synthesise quantitative and qualitative research on the impact of bladder cancer and its treatments on feelings of femininity/masculinity and body image. Method: A systematic review was conducted in October 2023 across three electronic databases (MEDLINE, PsycINFO, and Web of Science). Selected studies underwent quality assessment, followed by narrative synthesis, including thematic synthesis of the qualitative studies. Results: Of the 5775 papers initially identified, 24 were included in this systematic review. Findings from quantitative studies indicated negative changes to body image after an RC for bladder cancer, with women facing a higher risk than men of such changes. An absence of quantitative literature on feelings of femininity/ masculinity was identified. From qualitative studies, three themes emerged: “A Lack of Space for the Sharing of Female Experiences”, “Visual and Functional Changes from Treatment Undermining One’s Sense of Femininity and Masculinity”, and “Visual and Functional Changes From Treatment Undermining Body Image and Sense of Attractiveness”. Conclusion: This review’s findings demonstrated the need to explore body image in psychological assessments and psychotherapeutic interventions provided for bladder cancer patients. Findings also indicated that research ought to focus specifically on understanding bladder cancer experiences of femininity/masculinity given the gap in the literature.

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