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Journal of Health Psychology
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Sexual Dysfunction and the Preservation of Manhood: Experiences of Men with Prostate Cancer

Karen D. Fergus

Toronto Sunnybrook Regional Cancer Centre, Canada, karen.fergus{at}tsrcc.on.ca

Ross E. Gray

Toronto Sunnybrook Regional Cancer Centre, Canada

Margaret I. Fitch

Toronto Sunnybrook Regional Cancer Centre, Canada

This study explored the experiences of men living with sexual dysfunction as a consequence of having been treated for prostate cancer. An ethnoculturally diverse sample of 18 men (14 heterosexual, and four homosexual) participated in a series of four to five in-depth interviews. These one-on-one interviews were designed to elicit information pertaining to their beliefs, values and performances regarding masculinity vis-a-vis prostate cancer and its treatment. Interview transcripts were analyzed using the grounded theory method. The core category of ‘Preserving Manhood’ incorporated five major themes: enhancing the odds; disrupting a core performance; baring an invisible stigma; effortful-mechanical sex; and working around the loss. We conclude that men’s performances of sexuality and masculinity were highly interwoven; that loss of sexual functioning constituted a focal disruption for participants; and in some instances, posed a significant threat to their masculine identities.

Key Words: masculinity • prostate cancer • sexual dysfunction

Journal of Health Psychology, Vol. 7, No. 3, 303-316 (2002)
DOI: 10.1177/1359105302007003223
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