Prostate cancer is the third most common cancer in the UK. Ten‐year survival is high; consequently a service priority is addressing survivorship issues to support men living with the longer‐term consequences of the disease and its treatments. This paper presents a treatment manual which has been tested with couples following prostate cancer surgery to decrease distress in sexual functioning, and improve relational functioning. The content of the manual is described alongside a fictionalized case vignette that illustrates the content and process of sessions. The paper presents the RIPSToP Model (RelatIonal PSychosexual Treatment for couples with Prostate cancer). The manual was developed and piloted in a mixed‐method feasibility and acceptability randomized pilot control trial. Qualitative interviews with clinicians delivering the intervention indicate that the manual was acceptable. Practitioner points A systemic manual for supporting couples after prostate cancer surgery has been developed The manual presents a new model, derived from the literature, focusing on family context and the couple dynamic The model impacts psychological wellbeing, relationship functioning and distress related to sexual functioning Practitioners reported positive views of the manual and adhered to its content and structure 前列腺癌手术之后的伴侣治疗：治疗指导手册 在英国, 前列腺癌是第三普遍的癌症。十年生存率较高；因此治疗首要考虑的是处理与存活有关的问题, 以帮助男性适应该疾病及其治疗的长期影响。本文介绍了一份治疗手册, 该手册已经过测试, 用于降低前列腺癌手术之后伴侣在性功能方面的困扰, 并改善关系情况。在手册内容的描述之外, 加入了一个虚构的案例片段, 以展示疗程的内容和过程。本文体现了RIPSToP模型（前列腺癌伴侣的性心理关系治疗）。该手册是基于一项混合方法、随机控制的、可行性和接受度的初步研究。与开展该种治疗的临床医师的质性访谈显示, 该手册是可被采用的。 对实务工作者的启示 一份支持前列腺癌手术之后的伴侣的系统性手册已被开发出来 该手册体现了一种新模式, 基于相关文献, 关注家庭背景和伴侣之间的动态 这种模式影响心理健康状况、关系状况和性功能方面的困扰 医师对该手册评价积极, 并严格遵守了它的内容和结构 关键词：手册化治疗；癌症；慢性病状况；亲密度；前列腺；性关系