1. Management of functional outcomes after radical prostatectomy in the Nordic countries: A survey of uro-oncological centers.
- Author
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Nolsøe AB, Holm HV, Murtola TJ, Østergren PB, and Fode M
- Subjects
- Humans, Male, Surveys and Questionnaires, Prostatic Neoplasms surgery, Scandinavian and Nordic Countries, Postoperative Complications, Treatment Outcome, Prostatectomy adverse effects, Erectile Dysfunction etiology, Erectile Dysfunction rehabilitation, Urinary Incontinence surgery
- Abstract
We aimed to describe the clinical practice regarding erectile dysfunction and urinary incontinence after radical prostatectomy in the Nordic countries. A 37-item survey about pre- and post-prostatectomy evaluation and rehabilitation of sexual and urinary function was sent to 42 uro-oncology centers. Reporting was done according to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES). Twenty-seven centers in Denmark (n = 6), Norway (n = 8), Finland (n = 7), and Sweden (n = 6) responded (64.3%). Post-prostatectomy sexual function was evaluated by 25 centers. The majority used validated questionnaires with significant variations across centers. Post-prostatectomy urinary function was evaluated by 24 centers. Again, the majority used validated questionnaires, while 9 centers used objective measures including uroflowmetry, residual urine volume, and pad usage. Twenty-one centers offered sexual rehabilitation and 12 of these described their protocols. All centers administered phosphodiesterase-5 inhibitors and seven centers offered further treatment options. Two centers offered a consultation with a sexologist. Twenty-three centers provided pelvic floor muscle training and one center used medical support with duloxetine. Our study indicates a need for standardized evaluation and management of erectile dysfunction and urinary incontinence following radical prostatectomy. Especially, there is a need for an increased focus on comprehensive sexual rehabilitation., (© 2023. The Author(s).)
- Published
- 2024
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