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Long‐term quality of life after radical prostatectomy: 8‐Year longitudinal study in J apan
Author(s) -
Namiki Shunichi,
Kaiho Yasuhiro,
Mitsuzuka Koji,
Saito Hideo,
Yamada Shigeyuki,
Nakagawa Haruo,
Ito Akihiro,
Arai Yoichi
Publication year - 2014
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.12586
Subject(s) - medicine , prostatectomy , quality of life (healthcare) , sexual function , urinary incontinence , population , sf 36 , urology , health related quality of life , prostate cancer , disease , cancer , nursing , environmental health
Objectives To assess long‐term health‐related quality of life in patients undergoing radical prostatectomy. Methods A total of 120 patients with at least 5 years of follow up after radical prostatectomy were included in the present study. Health‐related quality of life outcomes were assessed using three questionnaires, the S hort F orm 36‐ I tem H ealth S urvey, the U niversity of C alifornia, L os A ngeles P rostate C ancer I ndex and the I nternational P rostate S ymptom S core. Results A total of 91 patients (73%) responded at a median follow‐up time of 102 months (range 85–123 months). Among general health‐related quality of life domains, mental and role composite summary score remained stable throughout the follow‐up period. At the final survey, no significant differences were observed in any of the domains compared with the age‐matched average score of the J apanese population. Although the slight decrease in urinary function scores and I nternational P rostate S ymptom S core beyond 5 years postoperatively compared with 5 years, the differences were not significant. The sexual function summary score showed a substantially lower score just after radical prostatectomy and remained at a deteriorated level ( P < 0.001). Responders at the final survey were more likely to report favorable general, urinary and sexual outcomes at 60 months compared with non‐responders. Conclusions When taking age‐related changes into account, general health‐related quality of life seems to remain stable in the long term after radical prostatectomy: patients with favorable health‐related quality of life outcomes during the first 5 years after radical prostatectomy maintain favorable outcomes thereafter.