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Long-term Satisfaction After Open Radical Prostatectomy.

Ted Lee1, Michael Fenstermaker1, Glen B Taksler2

  • 1Department of Urology, New York University School of Medicine, New York, NY.

Urology
|March 26, 2015
PubMed
Summary
This summary is machine-generated.

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Most men report high satisfaction after radical prostatectomy (RP). Good baseline sexual function and improved post-treatment urinary and sexual function predict long-term satisfaction with RP outcomes and decisions.

Area of Science:

  • Urology
  • Oncology
  • Patient-Reported Outcomes

Background:

  • Radical prostatectomy (RP) is a common treatment for prostate cancer.
  • Patient satisfaction is a crucial measure of treatment success.
  • Understanding factors influencing satisfaction is vital for improving patient care.

Purpose of the Study:

  • To identify baseline and post-treatment factors associated with long-term patient satisfaction after radical prostatectomy.
  • To evaluate patient satisfaction with both treatment outcome and treatment decision.

Main Methods:

  • A prospective, longitudinal study enrolled 1425 men undergoing RP between 2000 and 2009.
  • Baseline characteristics and functional/oncologic outcomes were collected.
  • Patient surveys assessed satisfaction with treatment outcome and decision.

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Main Results:

  • Overall satisfaction was high: 88.2% with outcome and 91.0% with decision.
  • Baseline sexual function predicted satisfaction.
  • Post-treatment sexual function, urinary function, lower urinary tract symptoms, and perceived cure were significant predictors of satisfaction.

Conclusions:

  • High patient satisfaction is achievable after open radical prostatectomy.
  • Managing patient expectations and enhancing functional outcomes are key to improving long-term satisfaction.