Changes in quality of life and lower urinary tract symptoms over time in cancer patients after a total prostatectomy: systematic review and meta-analysis

Amano, Koji; Suzuki, Kumi; Ito, Yuri

doi:10.1007/s00520-021-06595-x

Cited by 9 publications

(15 citation statements)

References 54 publications

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“…19,20 A previous study reported that IPSS storage subscale scores were worse after surgery than before surgery, needing time to resolve. 6 However, this study revealed that there were certain patients whose postoperative IPSS storage subscale scores improved from preoperative levels. Moreover, postoperative improvement in IPSS storage subscale scores was associated with an improvement in urinary status-related QOL after RARP.…”

Section: Discussionmentioning

confidence: 66%

“…These findings are in line with previous studies which reported that the IPSS-QOL often improves after RARP. [5][6][7][8] However, these studies had mainly focused on voiding symptoms of LUTS evaluated by IPSS. Since LUTS evaluated by IPSS is one of the many factors implicated in the urinary status-related QOL after RARP, our study also assessed EPIC urinary subdomains and the number of pads required postoperatively to explore the characteristics of patients who were satisfied with these improvements.…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, some studies have reported that patients with moderate and severe LUTS had improved QOL regarding urinary status after RARP by contrast of our results. [5][6][7][8] This difference may be explained by the fact that the said study evaluated the degree of change in IPSS-QOL, whereas we defined a clear cutoff value (IPSS-QOL ≤2) to determine patient satisfaction. Therefore, patients with low total IPSS or IPSS-QOL may more likely to meet our definition of "satisfied" patients after RARP.…”

Section: Discussionmentioning

confidence: 99%

“…4 In patients with localized PC, RARP can potentially improve, and not just maintain, postoperative QOL regarding urinary status by improving voiding symptoms of LUTS. [5][6][7][8] On the other hand, incontinence is not a major concern in patients with localized PC before treatment; however, incontinence, which is a storage symptom of LUTS, is known to be one of the most important adverse events after RARP and strongly influences postoperative QOL. 9,10 Therefore, when determining the best possible treatment for localized PC, clinicians should contemplate the effect of the patient's urinary status in terms of both voiding and storage symptoms of LUTS, such as incontinence, on their posttreatment QOL.…”

Section: Introductionmentioning

confidence: 99%

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Retrospective evaluation of the improvement in the urinary status‐related quality of life after robot‐assisted radical prostatectomy

Kohada,

Hieda,

Miyamoto

et al. 2023

Int J of Urology

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ObjectivesThis study aimed to investigate the characteristics of patients who report improvement in quality of life (QOL) related to urinary status after undergoing robot‐assisted radical prostatectomy (RARP) for localized prostate cancer.MethodsWe retrospectively reviewed the patients who underwent RARP between May 2010 and May 2021 at our institution and were preoperatively unsatisfied with their urinary status. Patients were grouped as Group 1 (improved patients: “satisfied” with urinary status based on international prostate symptom score QOL [IPSS‐QOL] = 0–2 at 12 months after RARP) and Group 2 (unimproved group: “unsatisfied”–IPSS‐QOL 3–6). Additionally, the Expanded Prostate Cancer Index Composite (EPIC) urinary subdomains (urinary function, urinary bother [UB], urinary incontinence, and urinary irritation/obstruction [UIR]) and IPSS were evaluated preoperatively and till 12 months after RARP.ResultsOf the 237 patients, 72 (30.4%) were Group 1, and 165 (69.6%) were Group 2. Only UB and UIR improved at 12 months after RARP in Group 1, while other EPIC urinary subdomains remained unimproved at 12 months in both groups. On the other hand, IPSS improved at 12 months in both groups. Univariate and multivariate analysis revealed that the nerve‐sparing, preoperative low IPSS (<11 vs. ≥11), and low IPSS‐QOL (3 vs. 4–6) were associated with improvement in urinary status‐related QOL (p < 0.05).ConclusionsImprovement in UB and UIR are important factors to ascertain improvement in urinary status‐related QOL after RARP. Nerve‐sparing and preoperative IPSS/IPSS‐QOL values are useful predictors of this improvement.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retrospective evaluation of the improvement in the urinary status‐related quality of life after robot‐assisted radical prostatectomy

Kohada,

Hieda,

Miyamoto

et al. 2023

Int J of Urology

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“…For men, body image, masculinity and quality of life are deteriorated by the treatment of genital cancer, like prostate or penis, including erectile dysfunction [ 44 ]. Impact of the cancer treatment (e.g., prostate, with possible impotence, urinary incontinence) is combined with that of the lymphedema itself [ 45 ]. Penile deformation, increased volume of the genitals, potential buried penis and involvement of the pubic area in sexual activities and/or global discomfort affect the quality of life.…”

Section: Quality Of Lifementioning

confidence: 99%

Genital Lymphedema after Cancer Treatment: A Narrative Review

Vignes¹

2022

Cancers

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Genital lymphedema may affect males and females after cancer treatment (gynecological, such as cervical, uterine or ovarian, melanoma, prostate, anus…). It is frequently associated with lower limb lymphedema, and is responsible for discomfort, cosmetic disfigurement and functional disturbances. Impacts on body image, sexual function and quality of life are major, and difficult to explore because cancer treatment itself and lymphedema are so closely interwoven. Local complications, e.g., papillomatosis, warty growth, lymph vesicles with embarrassing lymph oozing and cellulitis, may occur. Usual lymphedema therapies, like bandaging and elastic compression, are poorly adapted to these sites. Surgery, essentially based on cutaneous resection techniques, is the primary symptomatic treatment; it achieves good efficacy, in adults and children, with possible recurrence requiring reintervention.

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Systematic review of self-management programs for prostate cancer patients, a quality of life and self-efficacy meta-analysis

Martín‐Núñez¹,

Heredia-Ciuró²,

Valenza-Peña³

et al. 2023

Patient Education and Counseling

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Changes in quality of life and lower urinary tract symptoms over time in cancer patients after a total prostatectomy: systematic review and meta-analysis

Cited by 9 publications

References 54 publications

Retrospective evaluation of the improvement in the urinary status‐related quality of life after robot‐assisted radical prostatectomy

Retrospective evaluation of the improvement in the urinary status‐related quality of life after robot‐assisted radical prostatectomy

Genital Lymphedema after Cancer Treatment: A Narrative Review

Systematic review of self-management programs for prostate cancer patients, a quality of life and self-efficacy meta-analysis

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