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The Long-Term Effect of Radical Prostatectomy on Erectile Function, Urinary Continence, and Lower Urinary Tract Symptoms: A Comparison to Age-Matched Healthy Controls
- Source :
- BioMed Research International, BioMed Research International, Vol 2017 (2017)
- Publication Year :
- 2017
- Publisher :
- Hindawi Publishing Corporation, 2017.
-
Abstract
- Introduction. To analyze the impact of radical prostatectomy (RPE) on erectile function and lower urinary tract function in comparison to age-matched healthy men. Materials and Methods. Patients who underwent radical retropubic prostatectomy completed questionnaires containing the IIEF-5, the Bristol female LUTS questionnaire, and the International Prostate Symptom Score (IPSS). Results. Patients after RPE were included (n=363). Age-matched healthy men (n=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. Conclusions. 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.
- Subjects :
- Male
medicine.medical_specialty
Aging
Article Subject
medicine.medical_treatment
Urinary Bladder
030232 urology & nephrology
Urology
lcsh:Medicine
Urinary incontinence
General Biochemistry, Genetics and Molecular Biology
03 medical and health sciences
Bladder outlet obstruction
0302 clinical medicine
Erectile Dysfunction
Lower Urinary Tract Symptoms
Lower urinary tract symptoms
Surveys and Questionnaires
medicine
Humans
Aged
Aged, 80 and over
Prostatectomy
General Immunology and Microbiology
Urinary continence
business.industry
Penile Erection
lcsh:R
Prostatic Neoplasms
General Medicine
Middle Aged
medicine.disease
Urinary Bladder Neck Obstruction
Urinary Incontinence
030220 oncology & carcinogenesis
Case-Control Studies
Cohort
International Prostate Symptom Score
medicine.symptom
business
Radical retropubic prostatectomy
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 23146141 and 23146133
- Volume :
- 2017
- Database :
- OpenAIRE
- Journal :
- BioMed Research International
- Accession number :
- edsair.doi.dedup.....6c99cb07a4e394db3e3ba1180733f0f3