John – Interview 22
Suffering from haematuria (blood in the urine), in 2002 John was referred to hospital where a penile lump was detected which was diagnosed as cancerous. John underwent a total penectomy followed by a left groin lymphadenectomy. He currently undergoes six monthly check-ups.
John was frightened to mention his haematuria (blood in the urine) to his GP so waited until he went to see the nurse for his six monthly diabetic check-up. He was referred to a Specialist Penile Cancer Centre where they detected a small lump under his foreskin which the consultant diagnosed on sight as being cancerous. He was told he would have to have surgery but was ill informed as to its extent a total penectomy. Post operatively, he was seen by a Macmillan nurse who talked about chemotherapy as a future treatment option, but remembering a friend’s bad experience of chemo’ he refused.
A few weeks later John was told of the possibility that the cancer could have spread to his inguinal lymph nodes. A biopsy (carried out simultaneously with the repair of a pre-existing hernia) showed that his left inguinal lymph nodes were indeed affected. He then underwent a left inguinal lymphadenectomy which unfortunately was complicated by a wound infection which necessitated a readmission to hospital. However, once there was a marked improvement in his condition John’s wife was shown how to care for the wound and he was once again allowed to go home. Throughout his treatment John feels that he was poorly informed and his step daughter had to press for information on his behalf before the medical staff explained the process and implications of his treatment.
John now gets out and about but has learned to plan toilet stops into his journeys. He admits he has become less affectionate towards his wife as he now feels somewhat sexually and emotionally impaired. He currently suffers mood swings and depressive feelings which he has not mentioned to either hospital staff or the staff at his GP surgery. He still attends the hospital for check-ups every six months but feels he has little or no back up’ or support from them.