Changes in Continence and Health-Related Quality of Life After Curative Treatment and Watchful Waiting of Prostate Cancer

Katz, Guy; Rodríguez, R. Diz

doi:10.1016/j.urology.2007.02.003

Cited by 35 publications

(28 citation statements)

References 15 publications

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“…The same trend is reflected in data from Namiki et al 27 and Junius et al 25 . Thus, a large number of our patients did not perceive sexual function to be a problem despite significant impairment as discussed by Katz et al 35 .…”

Section: Discussionsupporting

confidence: 47%

Quality-of-Life Outcomes in High-Risk Prostate Cancer Patients Treated with Helical Tomotherapy in a Hypofractionated Radiation Schedule with Long-Term Androgen Suppression

Pervez¹,

Krauze²,

Yee³

et al. 2012

Current Oncology

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adversely affected at 6 months, but not at 1 month. Urinary function returned to baseline and remained unimpaired from 18 months onwards. ConclusionsIn our study population, who received hypofractionated radiation delivered using dynamic intensitymodulated radiotherapy with inclusion of the pelvic lymph nodes, and 2-3 years of ast prescription, qol with respect to bowel and sexual function was significantly affected; qol with respect to urinary function was largely unaffected. Our results are comparable to those in other published studies.

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Section: Discussionsupporting

confidence: 47%

Quality-of-Life Outcomes in High-Risk Prostate Cancer Patients Treated with Helical Tomotherapy in a Hypofractionated Radiation Schedule with Long-Term Androgen Suppression

Pervez¹,

Krauze²,

Yee³

et al. 2012

Current Oncology

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“…1 Late post-prostatectomy continence rates in expert hands are high (76-92%) 2, 3 ; however, early continence rates are routinely lower and vary widely (32-84%). 2,4 Efforts to improve post-prostatectomy continence include maximizing urethral length, 5 using nerve-sparing techniques, 6 and preserving or recreating urethral support through reconstructive techniques.…”

Section: Introductionmentioning

confidence: 99%

A Parallel Randomized Clinical Trial Examining the Return of Urinary Continence after Robot-Assisted Radical Prostatectomy with or without a Small Intestinal Submucosa Bladder Neck Sling

et al. 2016

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PurposeUrinary continence is a driver of quality of life after radical prostatectomy. The purpose of this study was to evaluate the impact of a biologic bladder neck sling on postoperative return of urinary continence after robot-assisted radical prostatectomy (RARP). Materials and MethodsThis study compared early continence in patients undergoing RARP with a sling and without a sling in a two group, 1:1, parallel, randomized controlled trial. Patients were blinded to group assignment. The primary outcome was defined as urinary continence (0-1 pads per day) at 1 month postoperative. Inclusion criteria included organ-confined prostate cancer and a prostatespecific antigen <15. Exclusion criteria included any prior surgery on the prostate, history of neurogenic bladder, and history of prior pelvic radiation. A chi-squared test was used for the primary outcome. ResultsA total of 147 patients were randomized (control=74, sling=73), and 92% were available for primary endpoint analysis at 1 month. There were no significant differences in baseline or perioperative data except that operating room time was 20.1 minutes longer for the sling group (P=0.04). The continence rate was similar between control and sling groups at both 1 month (47.1% vs. 55.2%, P=0.34) and 12 months (86.7% vs. 94.5%, P=0.15), respectively. Adverse events were similar between control and sling groups (10.8% vs. 13.7%, P=0.59). 3 ConclusionsThe application of an absorbable urethral sling at the time of RARP was well tolerated with no increase in obstructive symptoms in this randomized trial. However, the sling failed to show a significant improvement in continence.4

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“…Major advances are detailed in Tables 2 and 3. Quality of life questionnaires have demonstrated that urinary control postoperatively may have the greatest impact on a patient's perception of his recovery [13,14]. As a result, a number of surgical modifications in technique have been used in an attempt to improve early return and overall continence following surgery.…”

Section: Urinary Continence and The Urethrovesical Anastomosismentioning

confidence: 99%

Visible Angle on Magnetic Resonance Imaging Can Be Considered Indicator of Postoperative Outcome in Retropubic Radical Prostatectomy

Kwon

Lee

et al. 2017

Korean J Urol Oncol

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Since the introduction of robot-assisted radical prostatectomy (RALP), robotics has become increasingly more commonplace in the armamentarium of the urologic surgeon. Robotic utilization has exploded across surgical disciplines well beyond the fields of urology and prostate surgery. The literature detailing technical steps, comparison of large surgical series, and even robotically focused randomized control trials are available for review. RALP, the first robot-assisted surgical procedure to achieve widespread use, has recently become the primary approach for the surgical management of localized prostate cancer. As a result, surgeons are constantly trying to refine and improve upon current technical aspects of the operation. Recent areas of published modifications include bladder neck anastomosis and reconstruction, bladder drainage, nerve sparing approaches and techniques, and perioperative and postoperative management including penile rehabilitation. In this review, we summarize recent advances in perioperative management and surgical technique for RALP.

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Changes in Continence and Health-Related Quality of Life After Curative Treatment and Watchful Waiting of Prostate Cancer

Cited by 35 publications

References 15 publications

Quality-of-Life Outcomes in High-Risk Prostate Cancer Patients Treated with Helical Tomotherapy in a Hypofractionated Radiation Schedule with Long-Term Androgen Suppression

Quality-of-Life Outcomes in High-Risk Prostate Cancer Patients Treated with Helical Tomotherapy in a Hypofractionated Radiation Schedule with Long-Term Androgen Suppression

A Parallel Randomized Clinical Trial Examining the Return of Urinary Continence after Robot-Assisted Radical Prostatectomy with or without a Small Intestinal Submucosa Bladder Neck Sling

Visible Angle on Magnetic Resonance Imaging Can Be Considered Indicator of Postoperative Outcome in Retropubic Radical Prostatectomy

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