Satisfaction and genital perception after orchiectomy for prostate cancer: does the technique matter? A randomized trial

被引:2
作者
Singh, Onkar [1 ,2 ]
Mukherjee, Partho [1 ]
Sakthivel, M. S. [1 ]
Wann, Cornerstone [1 ]
George, A. J. P. [1 ]
Gopalakrishnan, Rajesh [3 ]
Antonisamy, Belavendra [4 ]
Devasia, Antony [1 ]
Kumar, Santosh [1 ]
Kekre, Nitin S. [1 ]
Chandrasingh, J. [1 ]
机构
[1] Christian Med Coll & Hosp, Dept Urol, Vellore 632004, Tamil Nadu, India
[2] Shrimann Superspecial Hosp, Consultant Dept Urol & Renal Transplantat, Jalandhar 144012, Punjab, India
[3] Christian Med Coll & Hosp, Dept Psychiat, Bagayam Campus, Vellore 632004, Tamil Nadu, India
[4] Christian Med Coll & Hosp, Dept Biostat, Bagayam Campus, Vellore 632004, Tamil Nadu, India
关键词
Prostate cancer; Androgen deprivation therapy; Orchiectomy; Quality of life; Genital perception;
D O I
10.1007/s11255-021-02849-z
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives Bilateral extracapsular or total orchiectomy (BEO) for prostate cancer is presumed to have psychological consequences after the surgery due to perception of an empty scrotum. Bilateral subcapsular orchiectomy (BSO) was designed to preserve perception of palpable testes. We compared the patients' satisfaction and genital perception following BEO and BSO. Materials and methods Prostate cancer patients eligible for androgen deprivation therapy who opted for orchiectomy were enrolled in prospective randomized study. Patients with bleeding disorder or uncorrected coagulopathy, poor performance score, and psychiatric problems were excluded. Outlook to life and own health in-general, overall satisfaction to the procedure and genital perception was evaluated using modified Fugl-Meyer questionnaire (FMQ) which was administered before and after 3 months of the surgery. Patients were randomized to BEO and BSO groups at the time of surgery using block randomization. Primary outcome was to compare the genital perception of testicular loss and patients' satisfaction to BSO and BEO. Secondary outcomes included testosterone and PSA control, operative time, and complications. Results Total 35 patients were enrolled in each group which was comparable. There was no difference in PSA control at 3 months. Mean operative time and blood loss were significantly lesser in BEO group. FMQ score at 3 months did not show significant difference. Majority of the patients in both groups were satisfied with procedure and the aesthetic value of scrotum after surgery. However, 84% in BSO group did not feel that testes were removed on self-examination, as compared to 28% in BEO group. Majority patients in both groups did not report physical or psychological discomfort from change in scrotal content. Conclusions Results showed that patients' satisfaction and genital perception following BSO and BEO were similar. Feeling of remaining intrascrotal contents after BSO did not had added psychological advantage in terms of perception of genitalia.
引用
收藏
页码:1583 / 1589
页数:7
相关论文
共 23 条