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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
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  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. The Association Between Pre-diagnostic Levels Of Psychological Distress And Adverse Effects After Radical Prostatectomy.
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. The Association Between Pre-diagnostic Levels Of Psychological Distress And Adverse Effects After Radical Prostatectomy.

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The association between pre-diagnostic levels of psychological distress and adverse effects after radical prostatectomy.

Rasmus Nilsson1,2, Thomas Næss-Andresen3, Tor Åge Myklebust4,5

  • 1Department of Urology Telemark Hospital Trust Skien Norway.

BJUI Compass
|May 16, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Pre-diagnostic anxiety and depression correlate with increased urinary and sexual side effects following radical prostatectomy. Healthcare providers should consider these psychological factors in treatment decisions and patient follow-up.

Keywords:
anxietydepressionerectile dysfunctionprostate cancer

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Area of Science:

  • Urology
  • Oncology
  • Psychiatry

Background:

  • Radical prostatectomy is a common treatment for prostate cancer.
  • Patient-reported outcomes are crucial for evaluating treatment success.
  • Pre-existing psychological distress may impact post-treatment recovery.

Purpose of the Study:

  • To examine the association between pre-diagnostic anxiety and depression levels and post-radical prostatectomy urinary and sexual adverse effects.
  • To investigate the impact of psychological distress on patient-reported outcomes after prostate cancer surgery.

Main Methods:

  • Prospective cohort study in Norwegian hospitals.
  • Patients completed validated questionnaires (Hopkins Symptom Checklist, EPIC-26) pre-biopsy and at 6 and 12 months post-surgery.
radical prostatectomy
urinary incontinence
  • Statistical analysis using multivariable mixed models to compare outcomes between distress groups.

    • Main Results:

    • Men with higher pre-diagnostic distress reported significantly worse urinary incontinence and bother at 6 months post-surgery.
    • Higher distress was associated with increased sexual bother and use of sexual aids at 6 months.
    • Differences between distress groups diminished by 12 months post-surgery.

    Conclusions:

    • Pre-diagnostic anxiety and depression are linked to greater urinary and sexual adverse effects after radical prostatectomy.
    • Psychological distress should be a consideration in the decision-making and follow-up processes for prostate cancer patients undergoing surgery.