Predictors of Patient and Partner Satisfaction Following Radical Prostatectomy

Guercio, Cailey; Mehta, Akanksha

doi:10.1016/j.sxmr.2017.08.005

Cited by 25 publications

(19 citation statements)

References 34 publications

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“…This may be explained by aspects other than erectile functioning e.g. partner support and mental health that relate to sexual functioning [26]. Furthermore, age and longer follow-up are likely to affect the valuation of being potent [25].…”

Section: Discussionmentioning

confidence: 99%

Long-term functional outcomes after robot-assisted prostatectomy compared to laparoscopic prostatectomy: Results from a national retrospective cluster study

Lindenberg

Retèl

Kieffer

et al. 2021

European Journal of Surgical Oncology

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Background: Despite multiple studies evaluating the effectiveness of Robot-Assisted Radical Prostatectomy (RARP), there is no definitive conclusion about the added value of RARP. A retrospective cluster study was conducted to evaluate long-term sexual and urinary functioning after RARP and Laparoscopic Radical Prostatectomy (LRP) based on real-world data from 12 Dutch hospitals. Methods: Data was collected from patients who underwent surgery between 2010 and 2012. A mixed effect model was used to evaluate differences between groups on urinary and sexual functioning (EPIC-26). Additionally, a regression analysis was conducted to evaluate the relationship between these functional outcomes and, among others, hospital volume. Results: 1370 (65.1%) patients participated, 907 underwent RARP and 463 LRP, with a median follow-up time of 7.08 years (SD ¼ 0.98). The RARP group showed a statistically and clinically significant better urinary functioning compared to the LRP group (p ¼ 0.002). RARP showed also a shorter procedure time (p¼<0.001), reduced blood loss (p¼<0.001), and a higher chance of neurovascular bundle preservation (39.8% vs 29.1%; p¼<0.01). Conclusion: RARP resulted in better long-term urinary function compared to LRP. Based on the results from this study, guidelines concerning the preferred surgery type and the position on reimbursement may change, especially when RARP proves to be cost-effective.

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Section: Discussionmentioning

confidence: 99%

Long-term functional outcomes after robot-assisted prostatectomy compared to laparoscopic prostatectomy: Results from a national retrospective cluster study

Lindenberg

Retèl

Kieffer

et al. 2021

European Journal of Surgical Oncology

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“…The diagnosis and treatment of prostate cancer adversely impact the physical, mental, and emotional well-being of prostate cancer patients and their partners, irrespective of treatment modality 1, 2, 3, 4, 5. Sexual dysfunction is the most common health-related quality of life complaint among prostate cancer survivors, 6 affecting patients and partners in distinct yet significant ways 7 . The current literature demonstrates that sexual dysfunction, which encompasses not only erectile dysfunction, but also decreased libido, impaired arousal, and muted orgasm, 8 can have wide-ranging implications for patient and partner intimacy, communication, and relationship satisfaction.…”

Section: Introductionmentioning

confidence: 99%

What Patients and Partners Want in Interventions That Support Sexual Recovery After Prostate Cancer Treatment: An Exploratory Convergent Mixed Methods Study

et al. 2019

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Introduction Men treated for prostate cancer suffer from treatment-related sexual side effects that adversely affect their relationships and quality of life. Aim To investigate what prostate cancer survivors and their partners want from a sexual recovery intervention, and whether they consider an online tool acceptable for use in promoting sexual recovery. Methods This mixed-methods study included focus groups and interviews with both heterosexual and gay cancer survivors, as well as their partners. Focus groups and interviews probed experiences with treatment, side effects, and support received/needed for sexual recovery. Participants responded to proposed web-based intervention content. Interviews were analyzed with thematic content analysis. Their sexual function was assessed with validated measures. Main Outcome Measures Acceptability of online tools for promoting sexual recovery was evaluated. Results Participants included 14 patients and 10 partners (2 male). Patient and partner median age was 62 and 62.5 years, respectively. Treatment ranged from surgery alone to combined radiation and hormonal therapy. Qualitative data analysis yielded 5 main intervention needs: (i) pretreatment discussion of sexual side effects, rehabilitation, emotional impact and realistic expectations, (ii) improved sexual communication within couples, (iii) strategies for promoting sexual intimacy beyond penetrative intercourse, (iv) attentiveness to partners' needs, and (v) access to peer support. Gay men specifically expressed the need for improved provider understanding of their sexuality and experiences. Most considered a web-based approach to be acceptable. Conclusion Patients and partners value both pretreatment preparation for sexual recovery and support for sexual recovery for both after treatment. A web-based approach may help mitigate barriers to access to these support services. Mehta A, Pollack CE, Gillespie T., et. al. What Patients and Partners Want in Interventions That Support Sexual Recovery After Prostate Cancer Treatment: An Exploratory Convergent Mixed Methods Study. Sex Med 2019;7:184–191.

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“…The definition and assessment of QoL should be conducted considering various cross-cultural and religious dimensions. Several factors affecting the QoL definition are mainly determined by cultural or religious schemata, as is apparent in folk illnesses [23,24]. In urological and andrological setting, these aspects should be considered due to the fact that some diseases affect the sexual function or genitalia.…”

Section: Cross-cultural and Religious Dimensions Of Qolmentioning

confidence: 99%

The Quality of Life Definition: Where Are We Going?

Cai

Verze

Johansen

2021

Uro

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The quality of life (QoL) concept now includes new aspects related to patients’ well-being because QoL has become more of a personal perception than an an objective and measurable entity. Here, we discuss the principal aspects of QoL-related aspects in urology and andrology by using a narrative review. Some aspects concerning the QoL are essential when managing uro-andrological patients. The aim of treatments should not only include the absence of disease or symptoms relief but also the improvement of a patient’s QoL with regard to his/her internal status and relationship with others. In this sense, any therapeutic approach should be based on the patient’s perspectives and not only on the instrumental and laboratory findings. Finally, we discussed the role of a patient’s sexual partner adding an extra dimension to the patient-centerd approach as part of the QoL concept in andrology.

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Predictors of Patient and Partner Satisfaction Following Radical Prostatectomy

Cited by 25 publications

References 34 publications

Long-term functional outcomes after robot-assisted prostatectomy compared to laparoscopic prostatectomy: Results from a national retrospective cluster study

Long-term functional outcomes after robot-assisted prostatectomy compared to laparoscopic prostatectomy: Results from a national retrospective cluster study

What Patients and Partners Want in Interventions That Support Sexual Recovery After Prostate Cancer Treatment: An Exploratory Convergent Mixed Methods Study

The Quality of Life Definition: Where Are We Going?

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