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Multicenter patient self-reporting questionnaire on impotence, incontinence and stricture after radical prostatectomy.
J Urol 2000; 163(3):858-64JU

Abstract

PURPOSE

We determined the incidence of patient self-reported post-prostatectomy incontinence, impotence, bladder neck contracture and/or urethral stricture, sexual function satisfaction, quality of life and willingness to undergo treatment again in a large multicenter group of men who underwent radical prostatectomy. We also determined whether the morbidities of sexual function satisfaction, quality of life and bladder neck contracture and/or urethral stricture are predictable from demographic and postoperative prostate cancer factors.

MATERIALS AND METHODS

A self-reporting questionnaire was completed and returned by 1,069 of 1,396 eligible patients (77%) who underwent radical prostatectomy between 1962 and 1997. Of the respondents 868 (85.7%) underwent surgery after 1990 and in all prostatectomy had been done a minimum of 6 months previously. Questionnaire results were independently analyzed by a third party for morbidity tabulation and the association of patient reported satisfaction.

RESULTS

The patient self-reported incidence of any degree of post-prostatectomy incontinence, impotence and bladder neck contracture or urethral stricture was 65.6%, 88.4% and 20.5%, respectively. The incidence of incontinence requiring protection was 33% and only 2.8% of respondents had persistent bladder neck contracture or urethral stricture. Although incontinence and impotence significantly affected self-reported sexual function satisfaction, quality of life and willingness to undergo treatment again (p = 0.001), 77.5% of patients would elect surgery again. This finding remained true even after adjusting for demographic variables, and the time between surgery and the survey by multiple logistic regression.

CONCLUSIONS

Although radical prostatectomy morbidity is common and affects self-reported overall quality of life, most patients would elect the same treatment again. Impotence and post-prostatectomy incontinence were significantly associated with sexual function satisfaction, quality of life and willingness to undergo treatment again. Bladder neck contracture and/or urethral stricture was associated with willingness to undergo treatment again after adjusting for demographic variables and time from surgery to the survey.

Authors+Show Affiliations

Department of Preventive Medicine and Biometrics, Center for Prostate Disease Research, Uniformed Services University of the Health Sciences, Bethesda, Maryland 20852, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

10687992

Citation

Kao, T C., et al. "Multicenter Patient Self-reporting Questionnaire On Impotence, Incontinence and Stricture After Radical Prostatectomy." The Journal of Urology, vol. 163, no. 3, 2000, pp. 858-64.
Kao TC, Cruess DF, Garner D, et al. Multicenter patient self-reporting questionnaire on impotence, incontinence and stricture after radical prostatectomy. J Urol. 2000;163(3):858-64.
Kao, T. C., Cruess, D. F., Garner, D., Foley, J., Seay, T., Friedrichs, P., ... Moul, J. W. (2000). Multicenter patient self-reporting questionnaire on impotence, incontinence and stricture after radical prostatectomy. The Journal of Urology, 163(3), pp. 858-64.
Kao TC, et al. Multicenter Patient Self-reporting Questionnaire On Impotence, Incontinence and Stricture After Radical Prostatectomy. J Urol. 2000;163(3):858-64. PubMed PMID: 10687992.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multicenter patient self-reporting questionnaire on impotence, incontinence and stricture after radical prostatectomy. AU - Kao,T C, AU - Cruess,D F, AU - Garner,D, AU - Foley,J, AU - Seay,T, AU - Friedrichs,P, AU - Thrasher,J B, AU - Mooneyhan,R D, AU - McLeod,D G, AU - Moul,J W, PY - 2000/2/25/pubmed PY - 2000/3/18/medline PY - 2000/2/25/entrez SP - 858 EP - 64 JF - The Journal of urology JO - J. Urol. VL - 163 IS - 3 N2 - PURPOSE: We determined the incidence of patient self-reported post-prostatectomy incontinence, impotence, bladder neck contracture and/or urethral stricture, sexual function satisfaction, quality of life and willingness to undergo treatment again in a large multicenter group of men who underwent radical prostatectomy. We also determined whether the morbidities of sexual function satisfaction, quality of life and bladder neck contracture and/or urethral stricture are predictable from demographic and postoperative prostate cancer factors. MATERIALS AND METHODS: A self-reporting questionnaire was completed and returned by 1,069 of 1,396 eligible patients (77%) who underwent radical prostatectomy between 1962 and 1997. Of the respondents 868 (85.7%) underwent surgery after 1990 and in all prostatectomy had been done a minimum of 6 months previously. Questionnaire results were independently analyzed by a third party for morbidity tabulation and the association of patient reported satisfaction. RESULTS: The patient self-reported incidence of any degree of post-prostatectomy incontinence, impotence and bladder neck contracture or urethral stricture was 65.6%, 88.4% and 20.5%, respectively. The incidence of incontinence requiring protection was 33% and only 2.8% of respondents had persistent bladder neck contracture or urethral stricture. Although incontinence and impotence significantly affected self-reported sexual function satisfaction, quality of life and willingness to undergo treatment again (p = 0.001), 77.5% of patients would elect surgery again. This finding remained true even after adjusting for demographic variables, and the time between surgery and the survey by multiple logistic regression. CONCLUSIONS: Although radical prostatectomy morbidity is common and affects self-reported overall quality of life, most patients would elect the same treatment again. Impotence and post-prostatectomy incontinence were significantly associated with sexual function satisfaction, quality of life and willingness to undergo treatment again. Bladder neck contracture and/or urethral stricture was associated with willingness to undergo treatment again after adjusting for demographic variables and time from surgery to the survey. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/10687992/Multicenter_patient_self_reporting_questionnaire_on_impotence_incontinence_and_stricture_after_radical_prostatectomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(05)67819-6 DB - PRIME DP - Unbound Medicine ER -