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Quality of life and sexuality following radical prostatectomy in patients with prostate cancer who use or do not use erectile aids.
Urology. 1997 Nov; 50(5):740-6.U

Abstract

OBJECTIVES

It is well established that prostate cancer patients undergoing radical prostatectomy may experience disruptive side effects, most notably urinary incontinence and erectile dysfunction. The purpose of this study is to compare relevant outcomes between patients awaiting radical prostatectomy for prostate cancer and patients who already underwent the surgery, taking into account type of prostatectomy and use of erectile aids.

METHODS

We compared self-reports of global quality of life, sexuality, urinary continence, and physical capabilities in 86 nerve-sparing patients, 89 standard-prostatectomy patients, 74 prostatectomy patients who used erectile aids, and a comparison group of 45 patients awaiting radical prostatectomy.

RESULTS

Regardless of type of surgery, use of erectile aid, or preoperative status, most patients reported good quality of life. The best outcomes in sexuality were reported by patients who used erectile aids, who appeared similar in sexuality to patients awaiting surgery. When differences were detected, standard prostatectomy patients who did not use erectile aids scored worse in most areas of sexuality than nerve-sparing patients who did not use erectile aids. There were no differences in frequency of urinary leakage among the three surgery subgroups.

CONCLUSIONS

Although most patients reported problems in sexual and urinary function, global quality of life does not appear to be compromised following radical prostatectomy. Findings suggest that postsurgical sexuality differs depending on type of prostatectomy and use of erectile aids, while urinary function is similar across surgery groups. We conclude that erectile aids should be offered routinely to patients who are ineligible for nerve-sparing surgery or experience erectile difficulties following the nerve-sparing procedure.

Authors+Show Affiliations

Department of Psychology, University of Southern California, Los Angeles 90089-1061, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9372885

Citation

Perez, M A., et al. "Quality of Life and Sexuality Following Radical Prostatectomy in Patients With Prostate Cancer Who Use or Do Not Use Erectile Aids." Urology, vol. 50, no. 5, 1997, pp. 740-6.
Perez MA, Meyerowitz BE, Lieskovsky G, et al. Quality of life and sexuality following radical prostatectomy in patients with prostate cancer who use or do not use erectile aids. Urology. 1997;50(5):740-6.
Perez, M. A., Meyerowitz, B. E., Lieskovsky, G., Skinner, D. G., Reynolds, B., & Skinner, E. C. (1997). Quality of life and sexuality following radical prostatectomy in patients with prostate cancer who use or do not use erectile aids. Urology, 50(5), 740-6.
Perez MA, et al. Quality of Life and Sexuality Following Radical Prostatectomy in Patients With Prostate Cancer Who Use or Do Not Use Erectile Aids. Urology. 1997;50(5):740-6. PubMed PMID: 9372885.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life and sexuality following radical prostatectomy in patients with prostate cancer who use or do not use erectile aids. AU - Perez,M A, AU - Meyerowitz,B E, AU - Lieskovsky,G, AU - Skinner,D G, AU - Reynolds,B, AU - Skinner,E C, PY - 1997/12/31/pubmed PY - 1997/12/31/medline PY - 1997/12/31/entrez SP - 740 EP - 6 JF - Urology JO - Urology VL - 50 IS - 5 N2 - OBJECTIVES: It is well established that prostate cancer patients undergoing radical prostatectomy may experience disruptive side effects, most notably urinary incontinence and erectile dysfunction. The purpose of this study is to compare relevant outcomes between patients awaiting radical prostatectomy for prostate cancer and patients who already underwent the surgery, taking into account type of prostatectomy and use of erectile aids. METHODS: We compared self-reports of global quality of life, sexuality, urinary continence, and physical capabilities in 86 nerve-sparing patients, 89 standard-prostatectomy patients, 74 prostatectomy patients who used erectile aids, and a comparison group of 45 patients awaiting radical prostatectomy. RESULTS: Regardless of type of surgery, use of erectile aid, or preoperative status, most patients reported good quality of life. The best outcomes in sexuality were reported by patients who used erectile aids, who appeared similar in sexuality to patients awaiting surgery. When differences were detected, standard prostatectomy patients who did not use erectile aids scored worse in most areas of sexuality than nerve-sparing patients who did not use erectile aids. There were no differences in frequency of urinary leakage among the three surgery subgroups. CONCLUSIONS: Although most patients reported problems in sexual and urinary function, global quality of life does not appear to be compromised following radical prostatectomy. Findings suggest that postsurgical sexuality differs depending on type of prostatectomy and use of erectile aids, while urinary function is similar across surgery groups. We conclude that erectile aids should be offered routinely to patients who are ineligible for nerve-sparing surgery or experience erectile difficulties following the nerve-sparing procedure. SN - 0090-4295 UR - https://www.unboundmedicine.com/medline/citation/9372885/Quality_of_life_and_sexuality_following_radical_prostatectomy_in_patients_with_prostate_cancer_who_use_or_do_not_use_erectile_aids_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-4295(97)00327-0 DB - PRIME DP - Unbound Medicine ER -