Quality of Life after Radical Prostatectomy in Japanese Men: 2 year Longitudinal Study

Abstract

Despite reports of problems with sexuality and urinary continence, general HRQOL was mostly unaffected by RP after 6 months. RP had a favorable impact on mental health. Although urinary function did not completely return to the baseline level even at 2 years after RP, recovery from urinary bother was rapid. RP had serious consequences on libido, erectile function and sexual activity. In the second year, the sexual function of those who underwent RP with bilateral nerve sparing procedure continued to improve.

Quality of life after radical prostatectomy in Japanese men: A 5‐Year follow up study

“…The questionnaire submission rates among these patients were 95%, 97%, 100%, 91%, 99%, 100%, 91% and 87% at 3,6,12,18,24,36,48 and 60 months after treatment, respectively. The mean HRQOL scores are shown in Figure 1 (general scales).…”

“…There were no treatment-related deaths. Only patients with preoperative HRQOL data and data from at least two later times (3,6,12,18,24,36,48 or 60 months after surgery) were included in the analysis, resulting in a final study cohort of 143 subjects. Table 1 lists the selected demographic and clinical characteristics of the study sample.…”

“…4,5 Previously, we detailed HRQOL recovery in Japanese men with localized prostate cancer followed for 2 years after RP. 6 In the current analysis we assessed temporal changes in HRQOL up to 5 years following RP using validated questionnaires. To our knowledge the current study is the longest-term prospective study to assess the impact of RP on general and disease-specific outcomes following RP in Japanese men with clinically localized prostate cancer.…”

Association Between Postoperative Pelvic Anatomic Features on Magnetic Resonance Imaging and Lower Tract Urinary Symptoms After Radical Prostatectomy

“…LUTSs after RP gradually improve, reaching a plateau at about 6 months. 7,8 We therefore excluded 3 patients who underwent MRI <6 months after RP, as these patients were assumed to still be undergoing improvement of LUTS. All patients underwent preoperative MRI.…”

“…The duration between RP and performance of postoperative MRI was also inconsistent. Namiki et al 7,8 reported that LUTS gradually improves after RP, plateauing after about 6 months. Because the present study excluded those patients who underwent MRI within 6 months after RP, no correlation between duration until postoperative MRI and LUTS was observed.…”