Outcomes of health-related quality of life after open, laparoscopic, or robot-assisted radical prostatectomy in China

被引:11
作者
Huang, Wei [1 ]
Zhang, Yan [1 ]
Shen, Bai-Hua [1 ]
Wang, Shuo [1 ]
Meng, Hong-Zhou [1 ]
Jin, Xiao-Dong [1 ]
机构
[1] Zhejiang Univ, Sch Med, Affiliated Hosp 1, Dept Urol, Qingchun Rd 79, Hangzhou 310003, Zhejiang, Peoples R China
来源
CANCER MANAGEMENT AND RESEARCH | 2019年 / 11卷
基金
中国国家自然科学基金;
关键词
erectile dysfunction; prostate cancer; radical prostatectomy; urinary incontinence; ERECTILE FUNCTION; RECOVERY; URINARY;
D O I
10.2147/CMAR.S189893
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: To compare the outcomes of health-related quality of life (HRQOL) in patients undergoing open (ORP), laparoscopic (LRP), or robot-assisted (RARP) radical prostatectomy. Patients and methods: We retrospectively analyzed 347 men with clinically localized prostate cancer treated with ORP (n=97), LRP (n=71), or RARP (n=179) by high-volume surgeons in our institution between January 2014 and December 2016. The primary endpoint was HRQOL including urinary incontinence and erectile dysfunction. Results: One year after surgery, 15.9% of men reported moderate to severe urinary incontinence (ORP 16.5%, LRP 15.4%, and RARP 15.7%), with only 4.6% using pads. There were no statistically significant differences in the ratios of no pad usage and urinary incontinence bother after 12 months postoperatively among the three groups. However, 67.7% of the men reported moderate to severe erectile dysfunction (ORP 66%, LRP 66.1%, and RARP 69.3%) 12 months after surgery. There was no statistically significant difference in the international index of erectile function-5 (IIEF-5) postoperatively among the different surgical groups. In the univariate and multivariate analyses, age at surgery, preoperative IIEF-5, and neurovascular bundle preservation were the risk factors for moderate to severe sexual bother. Interestingly, 16.1% of men with an erection hardness score of grade 3-4 were hesitant to become sexually active postoperatively. Conclusion: ORP, LRP, and RARP have similar early HRQOL outcomes with respect to urinary incontinence and erectile dysfunction. In contrast to urinary continence, erectile dysfunction is still a serious concern for patients who undergo radical prostatectomy.
引用
收藏
页码:899 / 907
页数:9
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