The husband's physical recovery did not indicate the life changes they must contend with. These changes included grief over the loss of intimacy between them, the changes in the nature of their relationship, misguided individual expectations, a lack of interpersonal communication and the lack of professional information to help and enlighten them. The process of trying to recover sexual function led them to seek out many treatment modes. Most of them yielded poor results. Their frustration stole almost all hope for intimacy. Reflecting on the situation led us to realize that we actually lacked individual coping skills, which could restore our relationship to normal (Mooney & Mooney). Their experience led them to see the importance of family physicians (Mooney & Mooney, 2011). They are a family's most valuable resource before and after surgery on sexual dysfunction and intimacy problems and appropriate interventions. As health practitioners themselves, the authors recommend that family physicians extend more support to this particular group of patients. They should seek out a local or regional referral for psychological and sexual counseling. All prostatectomy patients should be evaluated before and after surgery whether they present problems. They should be familiar with treatment for erectile dysfunction besides oral medications. Then they should look for a referral provider specializing in advanced treatment of this dysfunction. Individual and couple counseling may be more effective in helping other couples who develop long-term intimacy problems. Centers, which provide a multidisciplinary approach, should be considered. All providers should be extremely upfront with prostatectomy patients and their spouses about surgical outcomes and a desired return to sexual intimacy (Mooney & Mooney). #

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