John – Interview 26

After being diagnosed with penile cancer in 2010, John underwent a partial penectomy with reconstruction and bilateral inguinal lymphadenectomy. He then had radiotherapy to remove any remaining cancerous cells. He now suffers from prostate cancer, which is being treated with hormone therapy.

John has had some tragic encounters with cancer in his life. His son died as a child and he later lost his wife to the disease. This made him extremely suspicious when he spotted a penile lump. It also made him delay seeking help as he didn’t want his family and friends to have the same experience as he himself had had when his wife had discovered her cancer. He waited about three months during which time the lump grew larger, became painful and bled intermittently. Realising he felt under the weather’ he did eventually confide in his immediate family, two close friends and his church minister.

He went to see his GP who referred him to his local hospital. He was seen there within the week. He had a biopsy taken from the affected tissue and was fitted with a catheter (which he found embarrassing). The surgeon strongly suspected the tissue would prove to be malignant so referred him to a Specialist Penile Cancer Centre, where he was told he had cancer of the penis and underwent a partial penectomy with surgical reconstruction and bilateral inguinal lymphadenectomy. When he was discharged home, he unfortunately developed an abscess. The surgeon at his local hospital wanted to operate, but when they contacted the specialist centre, they advised against it and readmitted him there for intensive antibiotic therapy which resolved the problem.

The tests that John had also showed raised PSA levels. A biopsy of his prostate gland revealed he also had cancerous tissue there. He had a choice of’

1. A course of radiotherapy to clean tissue left after removal of the lymph nodes meaning that he could not have radiotherapy on his prostate. This would be linked with three monthly hormone treatment to shrink the prostate and slow down the progression of the tumour.
2. Radiotherapy of the prostate.

Considering his age John decided the first option was best for him.

Throughout the whole process John feels that he has been kept well informed. The doctors, nurses and surgeons have given him full explanations of his treatment and there have been informative booklets available for each stage of his illness.

He recently went on an active holiday and had continued to sing in the church choir. This does however involve a lot of standing and whilst on holiday he developed sciatic pain. His GP thinks this could be related to his prostate problem; he has had x-rays and is currently awaiting the results.

John gets easily tired and finds it difficult to organise his thoughts. When he wakes up in the mornings he feels very frightened but finds his friends, family and faith a great comfort.

Still attending hospital for regular check-ups John is currently planning another holiday. He doesn’t think about the future too much but lives in the present believing that he has been given extra time’.

John says taxi journeys to the hospital were expensive but a local volunteer driver service helped.

Age at interview 75

Gender Male

Age at diagnosis 74

John cannot stand for as long as he used to and he tires very easily.

Age at interview 75

Gender Male

Age at diagnosis 74

John said there was no discomfort with wearing a catheter and a bag but he felt embarrassed about…

Age at interview 75

Gender Male

Age at diagnosis 74

John says even the more advanced cancers can be cured, and life after cancer can be just as rich.

Age at interview 75

Gender Male

Age at diagnosis 74

John regrets not telling his family sooner; he doesn’t want to talk about his cancer now because…

Age at interview 75

Gender Male

Age at diagnosis 74

John told his son and daughter-law all the details of his diagnosis but just told his…

Age at interview 75

Gender Male

Age at diagnosis 74

To maintain his self-esteem, John had to learn to let people help him.

Age at interview 75

Gender Male

Age at diagnosis 74

John smiles because he feels he’s got a lot for which he feels he should be grateful. For a short…

Age at interview 75

Gender Male

Age at diagnosis 74

John felt relief after seeing the results of the partial penectomy and reconstruction. It was…

Age at interview 75

Gender Male

Age at diagnosis 74

District nurses provided emotional as well as practical support when they visited John at home to…

Age at interview 75

Gender Male

Age at diagnosis 74

John valued the support of his faith, his family, friends and neighbours; he received lots of…

Age at interview 75

Gender Male

Age at diagnosis 74

After his lymph nodes were removed John had small samples taken to see if there was any evidence…

Age at interview 75

Gender Male

Age at diagnosis 74

John felt he was going into a black hole when he heard ‘cancer’ because his wife and son had both…

Age at interview 75

Gender Male

Age at diagnosis 74

John did not want to know any more than he was told at his specialist centre, although he…

Age at interview 75

Gender Male

Age at diagnosis 74

John didn’t delay help seeking because of fear; instead he didn’t want his friends to have to go…

Age at interview 75

Gender Male

Age at diagnosis 74

John did not mind nursing staff seeing his penis; he used humour to overcome any potential…

Age at interview 75

Gender Male

Age at diagnosis 74