Sentidos do ser-aí-homem-após-cirurgia-mutiladora-do-sistema-geniturinário: contribuições para o cuidado à saúde do homem

Abstract

Mutilation surgeries in the male genitourinary system, although presenting low morbidity, lead to a compromise in the quality of life of those who need these procedures due to the mutilating nature that affects their physical, social, psychological and spiritual dimensions. The objective was to reveal the meanings of being a man after mutilating surgery in the genitourinary system. Research of qualitative nature with theoretical, philosophical and methodological reference founded on the phenomenology of Martin Heidegger. The scenario was a University Hospital of the Zona da Mata Mineira, with the participation of 13 men after mutilating surgery on the penis, testis and prostate. The testimonies were collected in the months of June to August of 2016 through a phenomenological interview with the guiding questions: how is his day to day after the surgery; how you feel after surgery and what the meanings of this surgery are for you in your day to day life. After careful reading, the essential structures that allowed the creation of the Units of Significance were seized: Feeling pain and what has improved with surgery; Feeling scared and then realizing that everything is normal; Understand that care must be taken during treatment and follow-up; To live the changes in the routine due to the urinary incontinence and reduction of the sexual force; Feeling embarrassed, secretive and feeling different. Hermeneutics allowed us to unveil the senses of being-there-man-after-a-surgery-mutilator-in-system-genitourinary, revealing that initially it is being stuck with the facticity of facing a surgical intervention, which until then, was not expected. In everyday life, Dasein finds itself most of the time, in the impersonal way of being, alienated from its possibility of being-itself, decadent and revealing the mode of dread and horror of improper anguish. But, that busy of the treatment takes to itself the responsibility of taking care of with him and reveals the way-of-being of the worry assuming the possibility of the cure. In the way of being more proper of the everyday, the impersonal, open to the talk and the curiosity. With the feeling of loss of masculinity reveals the mode of terror and a poor way of being-with-others. The study contributes in a unique way to what has been ratified from the testimonies: to undergo a partial or total mutilation of an organ that has innumerable meanings for man and that directly implies his masculinity is detrimental to his well-being.