Messages to professionals

Men will commonly be given a diagnosis of penile cancer by a consultant at a specialist cancer centre although their first point of contact will usually be their General Practitioner (GP). Diagnosis will usually come after the consultant has performed diagnostic tests, such as a biopsy or scan. Hearing that you have penile cancer can be extremely traumatic, and patients may experience a range of emotions (see ‘Hearing the diagnosis’). The way that a diagnosis is revealed can have a huge impact on a person. The challenge for professionals is to deliver the diagnosis in a way which will leave the individual patient feeling as equipped as possible to cope with the consequences of that diagnosis.

All of the men interviewed were cared for under the NHS in one of the specialist centres across the UK. The majority of the men we spoke to were extremely happy with the standard of care that they had received.

Rodger talks about being totally happy with the service he has received from his consultant.

Age at interview 65

Gender Male

Age at diagnosis 63

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Jordan feels the NHS gets a bad press, but he couldnt fault the service he received.

Age at interview 58

Gender Male

Age at diagnosis 57

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There were however, a number of men who felt that aspects of their care could have been improved. Several men talked about the need for a greater awareness of the signs and symptoms of penile cancer, particularly amongst primary health care professionals such as GPs. Some men called for better education and training of medical professionals in order to improve understanding of the signs and symptoms of penile cancer.

Tom believes that GPs should receive greater education on how to recognise the signs of penile…

Age at interview 71

Gender Male

Age at diagnosis 69

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Mick feels that his GP should have been quicker in referring him to the hospital.

Age at interview 69

Gender Male

Age at diagnosis 67

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Men also talked about the need for improvements to be made in how medical professionals revealed the diagnosis of penile cancer to their patients. Some men felt that a diagnosis was revealed without sufficient sensitivity and consideration of the impact which this diagnosis would have on a patient’s wellbeing, particularly where the diagnosis was delivered by someone who was not a penile cancer specialist. However, others felt dissatisfied if they had to wait until they saw a specialist before being told their diagnosis.

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Les feels that the health professionals should be better educated in revealing diagnoses.

Age at interview 55

Gender Male

Age at diagnosis 41

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Mark was told his diagnosis at the specialist centre but would have preferred to know his doctor…

Age at interview 48

Gender Male

Age at diagnosis 46

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Others felt that medical professionals did not always equip men to deal with the consequences of a penile cancer diagnosis or provide men with adequate support once a diagnosis had been revealed, such as somebody to talk to who would listen to their concerns. One man felt it important that a third party such as a friend or family member should be present at the diagnosis to provide support.

Simon would like health professionals to give patients a bit more time when revealing a diagnosis.

Age at interview 65

Gender Male

Age at diagnosis 63

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The men we interviewed varied in how they wanted to hear the diagnosis. Some men felt their diagnosis could have been delivered with greater sensitivity. Others felt that an honest and frank delivery of the diagnosis was an important aspect of the service provided and recommended that this should be practised by all health professionals.
Although many men were given information about their cancer and subsequent treatments they were to receive (see ‘Professional support for penile cancer’), a number felt that their care could have been improved by the provision of more information. In some cases, the men felt that they would have benefited from information on how to cope with the implication of their diagnosis and treatment.

John Z thinks more information would have been helpful.

Age at interview 68

Gender Male

Age at diagnosis 64

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Tim feels that health professionals should help patients talk about their diagnosis and support…

Age at interview 54

Gender Male

Age at diagnosis 53

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Although not a key theme across interviews, the wife of one man felt that the care pathway for penile cancer could be improved. She was able to draw upon her experience of treatment for breast cancer and recommended that health professionals should follow the standard treatment protocol when managing men who have been diagnosed with penile cancer.

Colins wife felt there should be a standard care pathway for penile cancer similar to that for…

Age at interview 62

Gender Male

Age at diagnosis 62

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Furthermore, one man would have liked advice from his consultant about anything he could do himself to slow the progress of his condition or prevent a recurrence.

Sharing experiences

Many people who have experienced illness find sharing their feelings about their experiences to be helpful. Talking to people, in similar positions to oneself, can...