Impact of radical perineal prostatectomy on urinary continence and quality of life: A longitudinal study of Japanese patients

Abstract

Aim : We used self-completed questionnaires to obtain a longitudinal assessment of urinary continence and urinary, bowel, and sexual domain-related quality of life (QOL) in Japanese patients undergoing radical perineal prostatectomy (RPP). Methods : A total of 41 Japanese patients with a median age of 69 years who underwent RPP between February 2002 and February 2004 were included in the study. We measured QOL by the University of California, Los Angeles, Prostate Cancer Index (UCLA-PCI) and assessed urinary continence on the basis of three different definitions of continence. The International Prostate Symptom Score (I-PSS) was also included to evaluate lower urinary tract symptoms (LUTS). Results : When urinary continence was defined as none, one, or two protective pads per day, 100%, 73%, 94%, 97%, or 100% of the patients were continent before, and 1, 3, 6, and 12 months after, RPP, respectively. When it was defined as total control or occasional dribbling, the corresponding values were 97%, 70%, 84%, 94%, and 97%. Urinary function returned to the preoperative baseline level by 6 months postoperatively and scores for urinary bother had significantly surpassed the baseline by 12 months ( P = 0.043). The I-PSS was significantly improved ( P = 0.014), with a mean 4.7-unit decrease. Sexual function worsened significantly after surgery, and its recovery was less favorable. No significant change was observed in scores for bowel function or bowel bother. Conclusions : The majority of patients who undergo RPP rapidly regain urinary continence and QOL within 3-6 months. RPP has a favorable impact on LUTS.

Retropubic versus perineal radical prostatectomy in early prostate cancer: Eight‐year experience

“…The majority of patients who underwent radical perineal prostatectomy rapidly regained urinary continence and quality of life within 3-6 months. RPP had a favorable impact on LUTS [15].…”

UROLOGICAL ONCOLOGY Radical perineal prostatectomy – the contemporary resurgence of a genuinely minimally invasive procedure: Procedure outline. Comparison of the advantages, disadvantages, and outcomes of different surgical techniques of treating organ-confined prostate cancer (PCa). A literature review with special focus on perineal prostatectomy

“…Comprehensive reports on continence one year after RPP have revealed its return (defined as “up to one pad” or “occasional dribbling”) in 81-96%, after RRP in 61-97.1%, after LAP in 80.7-91.9%, and after RALP in 86.3-91.8% of cases [6, 12, 43, 50–55]. …”

Contemporary Radical Prostatectomy

“…Urinary function returned to the preoperative baseline level by 6 months postoperatively. The majority of patients who underwent RPP rapidly regained urinary continence and quality of life within 3–6 months [92]. Zuo and Hiraoka reported clinical comparative evaluation of RRP and RPP approaches for prostate cancer.…”