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Psychological impact of different primary treatments for prostate cancer: A critical analysis
Author(s) -
Maggi Martina,
Gentilucci Alessandro,
Salciccia Stefano,
Gatto Antonio,
Gentile Vincenzo,
Colarieti Anna,
Von Heland Magnus,
Busetto Gian Maria,
Del Giudice Francesco,
Sciarra Alessandro
Publication year - 2019
Publication title -
andrologia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.633
H-Index - 59
eISSN - 1439-0272
pISSN - 0303-4569
DOI - 10.1111/and.13157
Subject(s) - medicine , prostate cancer , anxiety , prostatectomy , depression (economics) , radiation therapy , distress , medline , cochrane library , urinary incontinence , sexual dysfunction , meta analysis , randomized controlled trial , erectile dysfunction , cancer , urology , clinical psychology , psychiatry , political science , law , economics , macroeconomics
Limited attention has been given to the psychological impact of primary treatments in patients with prostate cancer. Aim of our analysis was to critically analyse the current evidence on the psychological impact of different primary treatments (surgery, radiotherapy and active surveillance), in patients with prostate cancer, using validated questionnaires. We searched in the MEDLINE and Cochrane library database from the literature of the past 15 years (primary fields: prostate neoplasm, AND radical prostatectomy or radiotherapy or active surveillance AND psychological distress or anxiety or depression; secondary fields: urinary, sexual, bowel modifications, non‐randomised and randomised trials). Overall eighteen original and review articles were included and critically evaluated. Either radical prostatectomy or active surveillance and radiotherapy are well‐tolerated in terms of definite anxiety and depression during the post‐treatment follow‐up. A mutual influence between functional and psychological modifications induced by treatments has been demonstrated. Urinary symptoms related to incontinence more than sexual and bowel dysfunction are able to induce psychological distress worsening. In conclusion, patients and their clinicians might wish to know how functional and psychological aspects may differently be influenced by treatment choice.