Comparison of surgical approaches to radical prostatectomy in our series beyond oncological and functional outcomes

Cortés, Ángel García; Vives, J. Colombás; Castañé, Cristina; Román, Santiago Chiva San; López, P. Doménech; Marckert, F.J. Ancizu; Suárez, M. Hevia; Narro, I. Merino; Campillo, J.M. Velis; Grimá, Francisco Guillén; Roca, Marcos Torres; Alonso, F.; Costa, D. Rosell; Villacampa, Felipe; Chillón, F. Ramón de Fata; Boville, G. Andrés; Bernardos, G. Barbas; López, B. Miñana; García, J.E. Robles; Piédrola, J.I. Pascual

doi:10.1016/j.acuroe.2021.12.001

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…Similar findings were reported by Ji et al, who reported that over 10% of all new cases of prostate cancer in the USA were diagnosed in patients aged 55 or less [ 25 ]. Yet, other studies have reported a higher mean age of diagnosis [ 1 , 10 , 26 ]. This may be due to differences in the efficacy of screening and prevention campaigns, which allow for early diagnosis and improved patient outcomes.…”

Section: Discussionmentioning

confidence: 92%

Quality of Life after Radical Prostatectomy: A Longitudinal Study

et al. 2023

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Background: Men with prostate cancer who undergo radical prostatectomy experience a decrease in quality of life, often related to sexual disfunction and urinary incontinence. Knowing and measuring the impact of radical prostatectomy on the individual’s social, emotional, and family quality of life could help to plan and develop an appropriate, patient-centred therapeutic approach. Aim: In this study, we aimed to evaluate changes in quality of life of patients with prostate cancer before and after radical prostatectomy. Methods: A longitudinal, observational study of 114 participants was conducted using the method of test–retest. Quality of life before and after radical prostatectomy was measured through the following self-administered questionnaires: (1) The EORTC QLQ-C30 in its Spanish version was used to assess the generic quality of life the participants; (2) the EORTC QLQ-PR25 in its Spanish version was used to assess the specific, health-related quality of life of prostate cancer patients. Results: A total of 114 men took part in this study. The results from the QLQ-C30 questionnaire indicated an improvement in the dimensions of emotional role and cognitive function, as well as in the symptoms of fatigue, pain, nausea and vomiting, insomnia, and loss of appetite, after surgery. Patients scored lower in the dimensions of role functioning, social function, and economic impact after radical prostatectomy. According to the results from the QLQ-PR25 questionnaire, 61.40% of the participants experienced sexual impotence and 26.31% suffered urinary incontinence after surgery. There were significant differences in some postsurgical outcomes between patients who had neurovascular bundles preserved and those who had not. Conclusions: In-depth knowledge of, and measurement of changes in, quality of life after radical prostatectomy should allow for comprehensive, multidisciplinary, patient-centred care planning. Psychosocial assessment, both before and after surgery, is crucial in patients with prostate cancer. This study was prospectively registered with the CEIC-A on 2012-06-27, with registration number C.P.-C.I. PI12/0088

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