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Impact of radical perineal prostatectomy on urinary continence and quality of life: A longitudinal study of Japanese patients
Author(s) -
MATSUBARA AKIO,
YASUMOTO HIROAKI,
MUTAGUCHI KAZUAKI,
MITA KOJI,
TEISHIMA JUN,
SEKI MITSUHIRO,
KAJIWARA MITSURU,
KATO MASAO,
SHIGETA MASANOBU,
USUI TSUGURU
Publication year - 2005
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/j.1442-2042.2005.01187.x
Subject(s) - medicine , urinary continence , prostatectomy , urology , quality of life (healthcare) , urinary incontinence , prostate , nursing , cancer
Aim: We used self‐completed questionnaires to obtain a longitudinal assessment of urinary continence and urinary, bowel, and sexual domain‐related quality of life (QOL) in Japanese patients undergoing radical perineal prostatectomy (RPP). Methods: A total of 41 Japanese patients with a median age of 69 years who underwent RPP between February 2002 and February 2004 were included in the study. We measured QOL by the University of California, Los Angeles, Prostate Cancer Index (UCLA‐PCI) and assessed urinary continence on the basis of three different denitions of continence. The International Prostate Symptom Score (I‐PSS) was also included to evaluate lower urinary tract symptoms (LUTS). Results: When urinary continence was dened as none, one, or two protective pads per day, 100%, 73%, 94%, 97%, or 100% of the patients were continent before, and 1, 3, 6, and 12 months after, RPP, respectively. When it was dened as total control or occasional dribbling, the corresponding values were 97%, 70%, 84%, 94%, and 97%. Urinary function returned to the preoperative baseline level by 6 months postoperatively and scores for urinary bother had signicantly surpassed the baseline by 12 months ( P = 0.043). The I‐PSS was signicantly improved ( P = 0.014), with a mean 4.7‐unit decrease. Sexual function worsened signicantly after surgery, and its recovery was less favorable. No signicant change was observed in scores for bowel function or bowel bother. Conclusions: The majority of patients who undergo RPP rapidly regain urinary continence and QOL within 3–6 months. RPP has a favorable impact on LUTS.