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Erectile function outcome reporting after clinically localized prostate cancer treatment.
Arthur L Burnett1, Gunnar Aus, Edith D Canby-Hagino
1The Johns Hopkins Hospital, 600 North Wolfe St., Marburg 407, Baltimore, Maryland 21287-2411, USA. aburnett@jhmi.edu
The Journal of Urology
|June 16, 2007
Summary
Reporting of erectile function after prostate cancer treatment is inconsistent and lacks standardized measures. Future research needs rigorous methodology and uniform outcomes to improve understanding of sexual health post-treatment.
Area of Science:
- Urology
- Oncology
- Sexual Medicine
Background:
- Erectile function is a critical quality-of-life outcome after localized prostate cancer treatment.
- Standardized reporting of erectile function outcomes is lacking in the medical literature.
Purpose of the Study:
- To analyze the reporting of erectile function outcomes in studies of localized prostate cancer treatment.
- To identify inconsistencies and limitations in current assessment methods.
Main Methods:
- Conducted literature searches of PubMed for articles published 1991-2004 on T1-T2 N0M0 prostate cancer.
- Extracted data on erectile function outcomes, including rates of dysfunction and function.
- Reviewed current measures and protocols for assessing erectile function.
Main Results:
- Analysis of 436 selected articles revealed varied characterizations of erectile function.
- Data from 100 articles on radical prostatectomy showed wide ranges in erectile dysfunction (26-100%) and function (9-86%).
- Literature review indicated an evolution in outcome reporting standards but persistent inconsistencies.
Conclusions:
- Clinical studies frequently report erectile function outcomes inconsistently and with poor interpretability.
- Widely disparate rates of erectile dysfunction and function highlight the need for standardized assessment.
- Future research must employ rigorous methodology and standardized outcome measures to advance the field.
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