Quality of life and functional outcomes 10 years after laparoscopic radical prostatectomy.

Abstract:

BACKGROUND:Minimally invasive laparoscopic radical prostatectomy (LRP) has proven equally effective as open surgery in terms of cancer control and peroperative complication rate with less bleeding and postoperative pain. However, long-term follow-up data after LRP are scarce, especially as related to quality of life (QoL). AIM:To compare QoL and functional outcomes at least 10 years after LRP with a population-based control group matched for age and region. METHODS:Follow-up data were obtained by mailed questionnaires from patients who responded anonymously to five international questionnaires (EQ-5D, QLQ-C30, QLQ-PR25, IPSS, and IIEF). We collected self-reported outcome data directly from 49 patients who underwent LRP more than 10 years ago in our centre. The results of the patients' overall QoL and urinary continence rates were compared with 918 controls matched for region and age. RESULTS:Forty-two patients (86%) and 808 (88%) controls reported having no urinary leakage. Only 11 patients (24%) still had sexual activities 10 years after LRP, and three were without erectile dysfunction. There was no difference in four of five statements of the self-assessed QoL questionnaires between the LRP and control group. Anxiety level was higher in the LRP group (44%) than in the control group (23%). CONCLUSION:Patients reported high self-assessed QoL, although they also reported low sexual activity 10 years after LRP. Prevalence of urinary leakage was similar in both groups. However, anxiety was more common in LRP patients.

journal_name

Ups J Med Sci

authors

Wang EY,Eriksson HG

doi

10.3109/03009734.2013.868560

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

32-7

issue

1

eissn

0300-9734

issn

2000-1967

journal_volume

119

pub_type

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