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Patient-reported outcomes following radical prostatectomy
Owen Prowse1, Carol Lancaster, John Trachtenberg
1The Prostate Centre, The Toronto Hospital, Toronto, Canada.
The Canadian Journal of Urology
|April 5, 2001
Summary
Radical prostatectomy patients report high rates of impotence (82.2%) and incontinence (59.3%), but low rates of stricture (15.2%). This study offers crucial patient-reported data for surgical counseling.
Area of Science:
- Urology
- Oncology
- Patient-Reported Outcomes
Background:
- Radical prostatectomy is a common treatment for prostate cancer.
- Patient-reported outcomes (PROs) are increasingly vital for assessing treatment success.
- Previous studies suggest underreporting of complications in clinical settings.
Purpose of the Study:
- To evaluate patient-reported outcomes for impotence, incontinence, and stricture disease after radical prostatectomy.
- To provide clinicians with site-specific, patient-derived data for improved patient communication.
- To inform pre-operative and post-operative patient consultations.
Main Methods:
- Anonymous patient self-reported questionnaire.
- Assessment of disease-specific outcome measures.
- Data collection on impotence, incontinence, and stricture incidence.
Main Results:
- High patient-reported incidence of postoperative impotence (82.2%).
- High patient-reported incidence of ongoing incontinence (59.3%).
- Low patient-reported incidence of stricture disease (15.2%).
Conclusions:
- Patient-reported complication rates for impotence and incontinence after radical prostatectomy are substantial.
- The low incidence of stricture disease reported by patients warrants further investigation.
- Findings support the use of anonymous PROs to enhance clinical understanding and patient counseling.