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Longitudinal study on the impact of urinary continence and sexual function on health‐related quality of life among Japanese men after robot‐assisted radical prostatectomy
Author(s) -
Ngoo Kay Seong,
Honda Masashi,
Kimura Yusuke,
Yumioka Tetsuya,
Iwamoto Hideto,
Morizane Shuichi,
Hikita Katsuya,
Takenaka Atsushi
Publication year - 2019
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2018
Subject(s) - quality of life (healthcare) , prostatectomy , sexual function , medicine , urinary continence , erectile dysfunction , mental health , sf 36 , urinary incontinence , physical therapy , international prostate symptom score , health related quality of life , urology , surgery , prostate cancer , lower urinary tract symptoms , psychiatry , nursing , prostate , disease , cancer
Background The aim of this study is to investigate the impact of robotic‐assisted radical prostatectomy (RARP) on the health‐related quality of life (HRQOL). Methods We prospectively reviewed HRQOL parameters using Short‐Form Health Survey, patient self‐reporting of urinary incontinence and International Index of Erectile Function, among patients who underwent RARP between 2010 and 2016. Results Among 249 men studied, all had significantly worse HRQOL domain scores at 1 month post operatively but 24 months after surgery, all domains reached or surpassed their baseline values. Only Bodily Pain, General Health, Role‐Emotional, Mental Health domains, and Mental Health Composite were significantly improved. Improvement in urinary continence was mirrored by improvements in both Mental and Physical Component Scores. Conclusions Within a 2‐year post‐operative period, men who underwent RARP had regained their overall quality of life. The recovery of urinary continence significantly impacted the mental, physical, emotional, and social well‐being of those patients.