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Sequelae of radical prostatectomy

M Jønler1, E M Messing, P R Rhodes

  • 1Division of Urology, University of Wisconsin Hospital and Clinics, Madison.

British Journal of Urology
|September 1, 1994
PubMed
Summary
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Radical prostatectomy leads to high rates of urinary incontinence and erectile dysfunction. Despite these adverse effects, most patients remain satisfied with the surgery and would choose it again.

Area of Science:

  • Urology
  • Oncology
  • Surgical Outcomes

Background:

  • Radical prostatectomy is a common treatment for prostate cancer.
  • Understanding long-term sequelae is crucial for patient counseling and surgical decision-making.

Purpose of the Study:

  • To evaluate the long-term adverse effects (sequelae) of radical prostatectomy.
  • To assess patient satisfaction following the procedure.

Main Methods:

  • A postal survey was administered to 93 patients who had undergone radical prostatectomy.
  • Follow-up ranged from 12 to 48 months (mean 22.5 months).
  • 86 patients (92% response rate) completed the questionnaire regarding urinary function, erectile function, and overall satisfaction.

Main Results:

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  • High rates of urinary incontinence were reported: 47% used pads, 59% leaked urine daily.
  • Erectile function significantly declined: 84% were potent pre-surgery, but only 9% had full erections and 38% partial erections post-surgery.
  • 24% reported persistent physical discomfort, and 20% required treatment for bladder neck contracture.

Conclusions:

  • Adverse sequelae following radical prostatectomy, including incontinence and erectile dysfunction, are unexpectedly high.
  • Despite significant side effects, a majority of patients (74%) expressed satisfaction with the surgery and 88% would undergo it again.