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Urinary and sexual quality of life 1 year following robotic assisted laparoscopic radical prostatectomy.
J Urol. 2008 Aug; 180(2):663-7.JU

Abstract

PURPOSE

We evaluated urinary and sexual quality of life 1 year following robotic laparoscopic radical prostatectomy and identified preoperative variables predictive of a severe decrease from baseline.

MATERIALS AND METHODS

Using a prospective robotic laparoscopic radical prostatectomy database we identified patients with greater than 1 year of postoperative followup. The UCLA-PCI SF-36v2 questionnaire was used to evaluate urinary and sexual quality of life before and 1 year after surgery. Severe worsening of the postoperative score was defined as a greater than 1 SD decrease. Demographic and preoperative clinical variables were evaluated along with baseline scores on univariate and multivariate analysis.

RESULTS

Between February 2003 and September 2007 a total of 1,225 robotic laparoscopic radical prostatectomies were performed at our center and 361 patients (52%) met inclusion criteria. On multivariate analysis baseline urinary function was the only predictor of significant worsening of urinary function (OR 1.04, p = 0.003). Baseline urinary bother was the only predictor of significant worsening of urinary bother (OR 1.05, p <0.0001). A significant decrease in sexual function was predicted by baseline sexual function (OR 1.03, p = 0.0001), baseline sexual bother (OR 1.03, p = 0.005) and nerve sparing technique (OR 0.31, p = 0.05). Predictors of a significant decrease in sexual bother were also baseline sexual function (OR 1.02, p = 0.0001), baseline sexual bother (OR 1.04, p = 0.0007) and nerve sparing technique (OR 0.38, p = 0.02). ORs indicated that higher baseline scores corresponded to a higher risk of postoperative score worsening.

CONCLUSIONS

We found that overall better baseline sexual and urinary scores are associated with better postoperative outcomes. However, the risk of a significant decrease in urinary function, urinary bother, sexual function and sexual bother is higher in patients with better baseline scores. Nerve sparing positively affects sexual function and sexual bother.

Authors+Show Affiliations

Section of Urology, Department of Surgery, University of Chicago, Pritzker School of Medicine, Chicago, Illinois, USA. sergeyshikanov@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18554650

Citation

Shikanov, Sergey A., et al. "Urinary and Sexual Quality of Life 1 Year Following Robotic Assisted Laparoscopic Radical Prostatectomy." The Journal of Urology, vol. 180, no. 2, 2008, pp. 663-7.
Shikanov SA, Eng MK, Bernstein AJ, et al. Urinary and sexual quality of life 1 year following robotic assisted laparoscopic radical prostatectomy. J Urol. 2008;180(2):663-7.
Shikanov, S. A., Eng, M. K., Bernstein, A. J., Katz, M., Zagaja, G. P., Shalhav, A. L., & Zorn, K. C. (2008). Urinary and sexual quality of life 1 year following robotic assisted laparoscopic radical prostatectomy. The Journal of Urology, 180(2), 663-7. https://doi.org/10.1016/j.juro.2008.04.013
Shikanov SA, et al. Urinary and Sexual Quality of Life 1 Year Following Robotic Assisted Laparoscopic Radical Prostatectomy. J Urol. 2008;180(2):663-7. PubMed PMID: 18554650.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urinary and sexual quality of life 1 year following robotic assisted laparoscopic radical prostatectomy. AU - Shikanov,Sergey A, AU - Eng,Michael K, AU - Bernstein,Andrew J, AU - Katz,Mark, AU - Zagaja,Gregory P, AU - Shalhav,Arieh L, AU - Zorn,Kevin C, Y1 - 2008/06/12/ PY - 2007/12/01/received PY - 2008/6/17/pubmed PY - 2008/9/3/medline PY - 2008/6/17/entrez SP - 663 EP - 7 JF - The Journal of urology JO - J Urol VL - 180 IS - 2 N2 - PURPOSE: We evaluated urinary and sexual quality of life 1 year following robotic laparoscopic radical prostatectomy and identified preoperative variables predictive of a severe decrease from baseline. MATERIALS AND METHODS: Using a prospective robotic laparoscopic radical prostatectomy database we identified patients with greater than 1 year of postoperative followup. The UCLA-PCI SF-36v2 questionnaire was used to evaluate urinary and sexual quality of life before and 1 year after surgery. Severe worsening of the postoperative score was defined as a greater than 1 SD decrease. Demographic and preoperative clinical variables were evaluated along with baseline scores on univariate and multivariate analysis. RESULTS: Between February 2003 and September 2007 a total of 1,225 robotic laparoscopic radical prostatectomies were performed at our center and 361 patients (52%) met inclusion criteria. On multivariate analysis baseline urinary function was the only predictor of significant worsening of urinary function (OR 1.04, p = 0.003). Baseline urinary bother was the only predictor of significant worsening of urinary bother (OR 1.05, p <0.0001). A significant decrease in sexual function was predicted by baseline sexual function (OR 1.03, p = 0.0001), baseline sexual bother (OR 1.03, p = 0.005) and nerve sparing technique (OR 0.31, p = 0.05). Predictors of a significant decrease in sexual bother were also baseline sexual function (OR 1.02, p = 0.0001), baseline sexual bother (OR 1.04, p = 0.0007) and nerve sparing technique (OR 0.38, p = 0.02). ORs indicated that higher baseline scores corresponded to a higher risk of postoperative score worsening. CONCLUSIONS: We found that overall better baseline sexual and urinary scores are associated with better postoperative outcomes. However, the risk of a significant decrease in urinary function, urinary bother, sexual function and sexual bother is higher in patients with better baseline scores. Nerve sparing positively affects sexual function and sexual bother. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/18554650/Urinary_and_sexual_quality_of_life_1_year_following_robotic_assisted_laparoscopic_radical_prostatectomy_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2008.04.013?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -