Impact of Radical Prostatectomy on Urinary Incontinence, Erectile Dysfunction and General Quality of Life
Author(s)
Sarita Mac Cornick1,2*,
Silvana Aparecida Alves Corrêa1,
Márcia Eli Girotti2,
João Paulo Zambon2,
Rogério Simonetti Alves2,
Fernando Gonçalves de Almeida2
Affiliation(s)
1 Division of Plastic Surgery, Department of Surgery, Universidade Federal de Sao Paulo/Escola Paulista de Medicina (UNIFESP/EPM), Sao Paulo, Brazil. 2 Division of Urology, Department of Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
1 Division of Plastic Surgery, Department of Surgery, Universidade Federal de Sao Paulo/Escola Paulista de Medicina (UNIFESP/EPM), Sao Paulo, Brazil. 2 Division of Urology, Department of Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
ABSTRACT
The aims of this study were to evaluate the impact of radical retropubic prostatectomy on patient’s quality of life. Patients undergoing radical retropubic prostatectomy were followed for six months after surgery. We used quality of life questionnaires to study specific urinary symptoms and general health. WHOQOL-Bref (World Health Organization for Quality of Life) questionnaire was used to evaluate general health aspects, ICIQ-SF (International Consultation on Incontinence Questionnaire-Short Form), OABq (Overactive Bladder) and IPSS (International Prostatic Symptom Score) to evaluate incontinence and overactive bladder symptoms and Male Sexual Quotient to assess postoperative sexual dysfunctions. The questionnaires were scheduled before surgery, one, three and six months after surgery. Regarding the OAB-q scores, I-PSS and WHOQOL-Bref (physical, psychological, environmental, general, Question 1 and Question 2), symptoms worsened after one month if compared to preoperative symptoms. After six months, the WHOQOL’s social domain, the ICIQ-SF and QS-M scores remained worse if compared to preoperative evaluation. The incidence of sexual dysfunctions after six months was 0.83. In conclusion, urinary incontinence affects patient’s quality of life with gradual recovery after six months postoperatively. The social domain was the most common aspect affected by urinary incontinence. Our sexual dysfunction incidence was higher than other studies and this fact could be explained by many surgeries having been done by residents.
The aims of this study were to evaluate the impact of radical retropubic prostatectomy on patient’s quality of life. Patients undergoing radical retropubic prostatectomy were followed for six months after surgery. We used quality of life questionnaires to study specific urinary symptoms and general health. WHOQOL-Bref (World Health Organization for Quality of Life) questionnaire was used to evaluate general health aspects, ICIQ-SF (International Consultation on Incontinence Questionnaire-Short Form), OABq (Overactive Bladder) and IPSS (International Prostatic Symptom Score) to evaluate incontinence and overactive bladder symptoms and Male Sexual Quotient to assess postoperative sexual dysfunctions. The questionnaires were scheduled before surgery, one, three and six months after surgery. Regarding the OAB-q scores, I-PSS and WHOQOL-Bref (physical, psychological, environmental, general, Question 1 and Question 2), symptoms worsened after one month if compared to preoperative symptoms. After six months, the WHOQOL’s social domain, the ICIQ-SF and QS-M scores remained worse if compared to preoperative evaluation. The incidence of sexual dysfunctions after six months was 0.83. In conclusion, urinary incontinence affects patient’s quality of life with gradual recovery after six months postoperatively. The social domain was the most common aspect affected by urinary incontinence. Our sexual dysfunction incidence was higher than other studies and this fact could be explained by many surgeries having been done by residents.
KEYWORDS
Prostate Cancer, Prostatectomy, Urinary Incontinence, Erectile Dysfunction, General Quality of Life
Prostate Cancer, Prostatectomy, Urinary Incontinence, Erectile Dysfunction, General Quality of Life
Cite this paper
Cornick, S. , Alves Corrêa, S. , Girotti, M. , Zambon, J. , Alves, R. and de Almeida, F. (2015) Impact of Radical Prostatectomy on Urinary Incontinence, Erectile Dysfunction and General Quality of Life. Journal of Biosciences and Medicines, 3, 62-75. doi: 10.4236/jbm.2015.38007.
Cornick, S. , Alves Corrêa, S. , Girotti, M. , Zambon, J. , Alves, R. and de Almeida, F. (2015) Impact of Radical Prostatectomy on Urinary Incontinence, Erectile Dysfunction and General Quality of Life. Journal of Biosciences and Medicines, 3, 62-75. doi: 10.4236/jbm.2015.38007.
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http://dx.doi.org/10.1097/00005650-199303000-00006
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http://dx.doi.org/10.1111/j.1464-410X.2007.07409.x [14] Moore, K.N., Truong, V., Estey, E. and Voaklander, D.C. (2007) Urinary Incontinence after Radical Prostatectomy: Can Men at Risk Be Identified Preoperatively? Journal of Wound Ostomy & Continence Nursing, 34, 270-279.
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http://dx.doi.org/10.1089/end.2006.20.723 [18] Brawer, M.K., Chetner, M.P., Beatie, J., Buchner, D.M., Vessella, R.L. and Lange, P.H. (1992) Screening for Prostatic Carcinoma with Prostate Specific Antigen. Journal of Urology, 147, 841-845. [19] Fleck, M.P., Leal, O.F., Louzada, S., Xavier, M., Chachamovich, E., Vieira, G., Santos, L. and Pinzon, V. (1999) Desenvolvimento da versão em português do instrumento de avaliação de qualidade de vida da OMS (WHOQOL-100). The Revista Brasileira de Psiquiatria, 21, 19-28.
http://dx.doi.org/10.1590/S1516-44461999000100006 [20] Higginson, I.J. and Carr, A.J. (2001) Measuring Quality of Life: Using Quality of Life Measures in the Clinical Setting. British Medical Journal, 322, 1297-300.
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