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La consultation psychologique dans l’indication d’une prothèse pénienne : une expérience originale de complémentarité médicopsychologique
The psychological consultation in the indication of a penile prosthesis: an original experience of medical and psychological complementarity
Basic and Clinical Andrology volume 22, pages 74–79 (2012)
Résumé
Au Centre d’Étude et de Traitement des Insuffisances Sexuelles Masculines (CETISM) de notre département universitaire d’urologie, une consultation psychologique est systématiquement programmée lorsque la prothèse pénienne est considérée par le patient — et l’urologue — comme une solution possible de sa défaillance érectile.
Cette consultation comporte trois objectifs essentiels: repérer les cas — rares — de contre-indication psychopathologique, compléter l’information déjà donnée au patient lors des consultations médicochirurgicales et explorer les aspects relationnels, affectifs, cognitifs et érotiques susceptibles d’intervenir dans la prise de décision et dans l’intégration de la solution prothétique.
Elle vise aussi et surtout à rendre à l’homme sa position centrale, active, non seulement dans la prise de décision, mais encore dans l’élaboration d’un projet de vie qui tient compte de cette décision (positive ou négative), position qu’il a souvent perdue au moment où il est devenu « impuissant ».
Abstract
In the Center for the Study and Treatment of Male Sexual Dysfunction (CETISM) of our University Department of Urology, a psychological consultation is systematically provided when penile prosthesis implantation is considered by the patient — and the urologist — as a possible solution to his erectile dysfunction. This consultation has three key objectives: to identify — rare — cases of psychological contraindication, to complete the information already given to the patient during urologic consultations, and to explore the relational, emotional, cognitive and erotic aspects that could influence the decision-making and the integration of the prosthetic solution. It is also and especially to give to the man a central position, an active position, not only for the decision-making, but also for developing a life project which takes into account the decision (positive or negative), a position he often lost from the time he had become “powerless”.
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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Mormont, C., Andrianne, R. La consultation psychologique dans l’indication d’une prothèse pénienne : une expérience originale de complémentarité médicopsychologique. Basic Clin. Androl. 22, 74–79 (2012). https://doi.org/10.1007/s12610-012-0175-2
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DOI: https://doi.org/10.1007/s12610-012-0175-2
Mots clés
- Consultation psychologique
- Dysfonction érectile
- Prothèse pénienne
Keywords
- Psychological consultation
- Erectile dysfunction
- Penile prosthesis