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Differences in sexual function and quality of life after nerve sparing and nonnerve sparing radical retropubic prostatectomy.
J Urol. 2000 Apr; 163(4):1166-9; discussion 1169-70.JU

Abstract

PURPOSE

We determine the impact of nerve sparing techniques on quality of life after radical retropubic prostatectomy for prostate cancer.

MATERIALS AND METHODS

The RAND/UCLA Prostate Cancer Index and several questions about surgical outcomes, including sexual function, were sent to 170 consecutive patients at least 1 year after radical retropubic prostatectomy. Statistical analysis was performed on data for the entire group as well as subgroups of patients after nerve sparing and nonnerve sparing surgery.

RESULTS

Nonnerve sparing surgery was performed in 83 of 129 responders (nonnerve sparing group) and the remaining 46 were treated with unilateral nerve sparing surgery (nerve sparing group). Scores for sexual function, sexual bother, physical function and physical limitation domains were significantly better in the nerve sparing group. Spontaneous erectile activity was reported by 50% of nerve sparing group patients. Nerve sparing status did not affect urinary function, bowel function or disease outcome.

CONCLUSIONS

Nerve sparing techniques have positive effects on quality of life and sexual function for patients undergoing radical retropubic prostatectomy.

Authors+Show Affiliations

Section of Urology, University of Arizona Health Sciences Center, Tucson, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

10737488

Citation

Gralnek, D, et al. "Differences in Sexual Function and Quality of Life After Nerve Sparing and Nonnerve Sparing Radical Retropubic Prostatectomy." The Journal of Urology, vol. 163, no. 4, 2000, pp. 1166-9; discussion 1169-70.
Gralnek D, Wessells H, Cui H, et al. Differences in sexual function and quality of life after nerve sparing and nonnerve sparing radical retropubic prostatectomy. J Urol. 2000;163(4):1166-9; discussion 1169-70.
Gralnek, D., Wessells, H., Cui, H., & Dalkin, B. L. (2000). Differences in sexual function and quality of life after nerve sparing and nonnerve sparing radical retropubic prostatectomy. The Journal of Urology, 163(4), 1166-9; discussion 1169-70.
Gralnek D, et al. Differences in Sexual Function and Quality of Life After Nerve Sparing and Nonnerve Sparing Radical Retropubic Prostatectomy. J Urol. 2000;163(4):1166-9; discussion 1169-70. PubMed PMID: 10737488.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in sexual function and quality of life after nerve sparing and nonnerve sparing radical retropubic prostatectomy. AU - Gralnek,D, AU - Wessells,H, AU - Cui,H, AU - Dalkin,B L, PY - 2000/3/29/pubmed PY - 2000/4/29/medline PY - 2000/3/29/entrez SP - 1166-9; discussion 1169-70 JF - The Journal of urology JO - J Urol VL - 163 IS - 4 N2 - PURPOSE: We determine the impact of nerve sparing techniques on quality of life after radical retropubic prostatectomy for prostate cancer. MATERIALS AND METHODS: The RAND/UCLA Prostate Cancer Index and several questions about surgical outcomes, including sexual function, were sent to 170 consecutive patients at least 1 year after radical retropubic prostatectomy. Statistical analysis was performed on data for the entire group as well as subgroups of patients after nerve sparing and nonnerve sparing surgery. RESULTS: Nonnerve sparing surgery was performed in 83 of 129 responders (nonnerve sparing group) and the remaining 46 were treated with unilateral nerve sparing surgery (nerve sparing group). Scores for sexual function, sexual bother, physical function and physical limitation domains were significantly better in the nerve sparing group. Spontaneous erectile activity was reported by 50% of nerve sparing group patients. Nerve sparing status did not affect urinary function, bowel function or disease outcome. CONCLUSIONS: Nerve sparing techniques have positive effects on quality of life and sexual function for patients undergoing radical retropubic prostatectomy. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/10737488/Differences_in_sexual_function_and_quality_of_life_after_nerve_sparing_and_nonnerve_sparing_radical_retropubic_prostatectomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-5347(05)67715-4 DB - PRIME DP - Unbound Medicine ER -