The Long-Term Effect of Radical Prostatectomy on Erectile Function, Urinary Continence, and Lower Urinary Tract Symptoms: A Comparison to Age-Matched Healthy Controls

Overview

Journal Biomed Res Int

Publisher Wiley

Specialties Biomedical Engineering
Biotechnology
General Medicine

Date 2017 Mar 7

PMID 28261619

Citations 7

Authors

Badereddin Mohamad Al-Ali

Anton Ponholzer

Herbert Augustin

Stephan Madersbacher

Karl Pummer

Affiliations

Soon will be listed here.

Abstract

. To analyze the impact of radical prostatectomy (RPE) on erectile function and lower urinary tract function in comparison to age-matched healthy men. . Patients who underwent radical retropubic prostatectomy completed questionnaires containing the IIEF-5, the Bristol female LUTS questionnaire, and the International Prostate Symptom Score (IPSS). . Patients after RPE were included ( = 363). Age-matched healthy men ( = 363) were included. The mean IIEF-5 of patients aged 61-70 yrs after RPE was 10.4 ± 6.6 versus 18.8 ± 5.3 in the control cohort; the respective values for men aged 71-80 yrs after RPE were 7.2 ± 6.5 versus 13.6 ± 7.7 in the control cohort. Urinary incontinence after RPE was reported in 41.9% (61-70 years) and 37.7% (71-80) versus 7.5% and 15.1% in the control cohort. The mean IPSS of patients after RPE aged 61-70 yrs was 5.0 ± 4.4 versus 5.5 ± 4.9 in the control cohort; the respective values for men aged 71-80 yrs were 6.0 ± 4.9 versus 7.5 ± 5.7 in the healthy cohort. . The negative effect of radical prostatectomy on erectile and urinary incontinence remains substantial. The physiologically declining erectile and lower urinary tract function with ageing reduces the difference between healthy men and those after surgery. Healthy men have a higher IPSS presumably due to the presence of bladder outlet obstruction.

Citing Articles

Predictors of Urinary Continence Recovery after Laparoscopic-Assisted Radical Prostatectomy: Is Surgical Urethral Length the Only Key Factor?.

Ragusa A, Brassetti A, Prata F, Iannuzzi A, Calle P, Tedesco F Life (Basel). 2023; 13(7).

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Specific nursing improves postoperative urine control function and the self-efficacy of patients undergoing radical prostatectomies.

Jiang J, Du L, Wang X, Huang S, Hu W, Zhou L Am J Transl Res. 2022; 14(3):1695-1704.

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The Effectiveness of Pelvic Floor Muscle Training in Men after Radical Prostatectomy Measured with the Insert Test.

Szczygielska D, Knapik A, Pop T, Rottermund J, Saulicz E Int J Environ Res Public Health. 2022; 19(5).

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Change of preoperative symptoms of the late-onset hypogonadism syndrome after robot-assisted radical prostatectomy.

Teishima J, Inoue S, Hayashi T, Matsubara A Curr Urol. 2021; 15(2):85-90.

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Pelvic floor muscle training in radical prostatectomy: a randomized controlled trial of the impacts on pelvic floor muscle function and urinary incontinence.

Milios J, Ackland T, Green D BMC Urol. 2019; 19(1):116.

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