Preparedness for side effects and bother in symptomatic men after radical prostatectomy in a prospective, non-randomized trial, LAPPRO

Abstract

on behalf of the LAPPRO steering committee (2016) Preparedness for side effects and bother in symptomatic men after radical prostatectomy in a prospective, non-randomized trial, LAPPRO, Acta Oncologica, 55:12, 1467-1476, DOI: 10.1080 Background: Many clinicians believe that preparedness before surgery for possible post-surgery side effects reduces the level of bother experienced from urinary incontinence and decreased sexual health after surgery. There are no published studies evaluating this belief. Therefore, we aimed to study the level of preparedness before radical prostatectomy and the level of bother experienced from urinary incontinence and decreased sexual health after surgery. Material and methods: We prospectively collected data from a non-selected group of men undergoing radical prostatectomy in 14 centers between 2008 and 2011. Before surgery, we asked about preparedness for surgery-induced urinary problems and decreased sexual health. One year after surgery, we asked about bother caused by urinary incontinence and erectile dysfunction. As a measure of the association between preparedness and bothersomeness we modeled odds ratios (ORs) by means of logistic regression. Results: Altogether 1372 men had urinary incontinence one year after surgery as well as had no urinary leakage or a small urinary dribble before surgery. Among these men, low preparedness was associated with bother resulting from urinary incontinence [OR 2.84; 95% confidence interval (CI) 1.59-5.10]. In a separate analysis of 1657 men we found a strong association between preparedness for decreased sexual health and experiencing bother from erectile dysfunction (OR 5.92;. Conclusion: In this large-sized prospective trial, we found that preparedness before surgery for urinary problems or sexual side effects decreases bother from urinary incontinence and erectile dysfunction one year after surgery.

Intervenções de enfermagem para incontinência urinária e disfunção sexual após prostatectomia radical

“…Of the 18 articles included, (5)(6)(7)(8)11,12,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) 17 were found in the electronic databases and one in the references of the selected studies. In the reference lists of the excluded reviews, no study was found that complied with the inclusion criteria set.…”

“…In the reference lists of the excluded reviews, no study was found that complied with the inclusion criteria set. As for the language of the articles, 16 were published in English, (5,6,8,11,12,(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) one in Spanish (7) and one in Portuguese. (23) As for the country where the study was developed, three were developed in Spain, followed by the United States, United Kingdom, Italy, Australia and China, with two studies each, and Brazil, Denmark, Sweden, Norway and The Netherlands, with one study in each country.…”

“…Concerning the year of publication, one study was published in 2018, (11) one in 2017, (17) five in 2016, (18)(19)(20)(21)(22) five in 2015 (5,(23)(24)(25)(26) and six in 2014. (6)(7)(8)12,27,28) As for the evidence level (EL), five studies presented level II, (5,11,12,21,27) ten level VI (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)28) and three level VII. (6)(7)(8) What the strategies for the implementation of the interventions are concerned, Nursing interventions for UI and SD, Nursing interventions for UI and Nursing interventions for SD were the categories created after analyzing the studies.…”

“…(6,17,23,28) VI, VII Provide information about the treatment, which are appropriate to each patient, considering the cultural level of each and the extent to which the patient wants to be informed. (5,12,18,19,22) II, VI Promote and moderate support groups for prostatectomized patients in order to share experiences and ways to manage the problem. (11,26) II, VI Teach the patient to perform the pelvic floor muscle exercises (PFME).…”

Rehabilitation Effect of Correction of Erectile Dysfunction in Patients Who Underwent Radical Prostatectomy for Prostate Cancer

“…Эти данные свидетельствуют о необходимости проведения реабилитационных мероприятий у этой категории больных, что согласуется с мнением ряда авторов [19,20]. С одной стороны, они связаны с оказанием психологической поддержки, а иногда и психиатрической помощи, и имеются публикации об эффективности этих мероприятий [21][22][23], а с другой -с мероприятиями по восстановлению возможности половой жизни. Из больных с развившейся после операции ЭД 34,2% хотели бы улучшить сексуальную функцию [6].…”