Portal de Periódicos da CAPES

Comparison of Quality of Life Following Laparoscopic and Open Prostatectomy for Prostate Cancer

2003; Lippincott Williams & Wilkins; Volume: 169; Issue: 6 Linguagem: Inglês

10.1097/01.ju.0000063961.99940.6c

1527-3792

Isao Hara, Gaku Kawabata, Hideaki Miyake, Ichiro Nakamura, Shoji Hara, Hiroshi Okada, Sadao Kamidono,

Pelvic floor disorders treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Jun 2003Comparison of Quality of Life Following Laparoscopic and Open Prostatectomy for Prostate Cancer ISAO HARA, GAKU KAWABATA, HIDEAKI MIYAKE, ICHIRO NAKAMURA, SHOJI HARA, HIROSHI OKADA, and SADAO KAMIDONO ISAO HARAISAO HARA , GAKU KAWABATAGAKU KAWABATA , HIDEAKI MIYAKEHIDEAKI MIYAKE , ICHIRO NAKAMURAICHIRO NAKAMURA , SHOJI HARASHOJI HARA , HIROSHI OKADAHIROSHI OKADA , and SADAO KAMIDONOSADAO KAMIDONO View All Author Informationhttps://doi.org/10.1097/01.ju.0000063961.99940.6cAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We compare the quality of life after laparoscopic prostatectomy to that after standard radical prostatectomy. Material and Methods: The quality of life of 52 and 54 patients who underwent laparoscopic and open radical prostatectomy, respectively, was analyzed using the European Organization for the Research and Treatment of Cancer Prostate Cancer quality of life questionnaire for general health related quality of life, International Index of Erectile Function 5 for screening erectile dysfunction and International Continence Society MaleSF questionnaire to evaluate urinary status. These questionnaires were given to patients before and 6 months after surgery. Results: The general health related quality of life survey revealed no significant differences in health before and after laparoscopic and open prostatectomy. However, sexual quality of life was markedly lower after surgery (p <0.01). In addition, the International Index of Erectile Function score was markedly abrogated by surgery (p <0.05) and quality of life due to urinary incontinence was significantly disturbed by surgery (p <0.05). In contrast, quality of life due to voiding dysfunction was impaired before surgery and significantly improved by surgery (p <0.05). Patients were also asked if they would choose the same treatment if suffering from the same disease, with more patients treated laparoscopically choosing the same treatment than those treated with open surgery (p <0.05). Conclusions: While general health related quality of life was not impaired, sexual quality of life was diminished by surgery. Patients were generally satisfied with postoperative urinary status. Although patients who underwent laparoscopic prostatectomy expressed a more favorable attitude toward surgery, there was no significant difference in quality of life at 6 months after surgery between the 2 groups. References 1 : Feasibility and usefulness of laparoscopic radical prostatectomy: Kobe University experience. Int J Urol2002; 9: 635. Google Scholar 2 : Laparoscopic radical prostatectomy: assessment after 240 procedures. Urol Clin North Am2001; 28: 189. Google Scholar 3 : Laparoscopic radical prostatectomy. The Creteil experience. Eur Urol2001; 40: 38. Google Scholar 4 : Comprehensive comparison of health-related quality of life after contemporary therapies for localized prostate cancer. J Clin Oncol2002; 20: 557. Google Scholar 5 : Health outcomes after prostatectomy or radiotherapy for prostate cancer: results from the Prostate Cancer Outcomes Study. J Natl Cancer Inst2000; 92: 1582. Google Scholar 6 : Radical prostatectomy: time trends, morbidity and quality of life. Int J Urol2001; 8: S15. Google Scholar 7 : Quality of life and treatment of hormone resistant metastatic prostatic cancer. The EORTC Genito-Urinary Group. Eur J Cancer1990; 26: 1133. Google Scholar 8 : Assessment of the quality of life of prostate cancer patients. Nippon Hinyokika Gakkai Zasshi1993; 84: 1611. Google Scholar 9 : Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. Int J Impot Res1999; 11: 319. Google Scholar 10 : Scoring the short form ICSmaleSF questionnaire. J Urol2000; 164: 1948. Link, Google Scholar 11 : Health related quality of life assessment after radical cystectomy: comparison of ileal conduit with continent orthotopic neobladder. J Urol2002; 168: 164. Link, Google Scholar 12 : SF-36 Health Survey. Manual and Interpretation Guide. Boston: The Health Institute, New England Medical Center1993. Google Scholar 13 : Measuring the quality of life of cancer patients: the Functional Living Index-Cancer: development and validation. J Clin Oncol1984; 2: 472. Google Scholar 14 : The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst1993; 85: 365. Google Scholar 15 : Patient-reported quality of life after radical prostatectomy for prostate cancer. Int J Urol1999; 6: 78. Google Scholar 16 : Quality of life 12 months after radical prostatectomy. Br J Urol1995; 75: 48. Google Scholar 17 : Quality-of-life outcomes in men treated for localized prostate cancer. JAMA1995; 273: 129. Crossref, Medline, Google Scholar 18 : Radical prostatectomy for localized prostate cancer provides durable cancer control with excellent quality of life: a structured debate. J Urol2000; 163: 1802. Link, Google Scholar 19 : Patient-reported impotence and incontinence after nerve-sparing radical prostatectomy. J Natl Cancer Inst1997; 89: 1117. Google Scholar 20 : Radical retropubic prostatectomy reduces symptom scores and improves quality of life in men with moderate and severe lower urinary tract symptoms. J Urol1999; 161: 1185. Link, Google Scholar From the Division of Urology, Kobe University Graduate School of Medicine, Kobe, Japan© 2003 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRodriguez E, Finley D, Skarecky D and Ahlering T (2008) Single Institution 2-Year Patient Reported Validated Sexual Function Outcomes After Nerve Sparing Robot Assisted Radical ProstatectomyJournal of Urology, VOL. 181, NO. 1, (259-263), Online publication date: 1-Jan-2009.Rogers C, Su L, Link R, Sullivan W, Wagner A and Pavlovich C (2018) Age Stratified Functional Outcomes After Laparoscopic Radical ProstatectomyJournal of Urology, VOL. 176, NO. 6, (2448-2452), Online publication date: 1-Dec-2006. (2018) Reply by AuthorsJournal of Urology, VOL. 175, NO. 6, (2367-2368), Online publication date: 1-Jun-2006.Tooher R, Swindle P, Woo H, Miller J and Maddern G (2018) Laparoscopic Radical Prostatectomy for Localized Prostate Cancer: A Systematic Review of Comparative StudiesJournal of Urology, VOL. 175, NO. 6, (2011-2017), Online publication date: 1-Jun-2006.MENON M, KAUL S, BHANDARI A, SHRIVASTAVA A, TEWARI A and HEMAL A (2018) POTENCY FOLLOWING ROBOTIC RADICAL PROSTATECTOMY: A QUESTIONNAIRE BASED ANALYSIS OF OUTCOMES AFTER CONVENTIONAL NERVE SPARING AND PROSTATIC FASCIA SPARING TECHNIQUESJournal of Urology, VOL. 174, NO. 6, (2291-2296), Online publication date: 1-Dec-2005.Penson D (2018) LAPAROSCOPIC UROLOGICAL ONCOLOGY: HERE COME THE OUTCOMES!Journal of Urology, VOL. 174, NO. 4 Part 1, (1174-1174), Online publication date: 1-Oct-2005.TRABULSI E and GUILLONNEAU B (2018) LAPAROSCOPIC RADICAL PROSTATECTOMYJournal of Urology, VOL. 173, NO. 4, (1072-1079), Online publication date: 1-Apr-2005.RASSWEILER J, SCHULZE M, TEBER D, MARRERO R, SEEMANN O, RUMPELT J and FREDE T (2018) LAPAROSCOPIC RADICAL PROSTATECTOMY WITH THE HEILBRONN TECHNIQUE: ONCOLOGICAL RESULTS IN THE FIRST 500 PATIENTSJournal of Urology, VOL. 173, NO. 3, (761-764), Online publication date: 1-Mar-2005.LINK R, SU L, SULLIVAN W, BHAYANI S and PAVLOVICH C (2018) HEALTH RELATED QUALITY OF LIFE BEFORE AND AFTER LAPAROSCOPIC RADICAL PROSTATECTOMYJournal of Urology, VOL. 173, NO. 1, (175-179), Online publication date: 1-Jan-2005. Volume 169Issue 6June 2003Page: 2045-2048 Advertisement Copyright & Permissions© 2003 by American Urological Association, Inc.Keywordsquality of lifelaparoscopyprostatic neoplasmsprostatectomyMetricsAuthor Information ISAO HARA More articles by this author GAKU KAWABATA More articles by this author HIDEAKI MIYAKE More articles by this author ICHIRO NAKAMURA More articles by this author SHOJI HARA More articles by this author HIROSHI OKADA More articles by this author SADAO KAMIDONO More articles by this author Expand All Advertisement PDF downloadLoading ...