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A postal survey evaluation of prostatectomy
C M Castleden1, C W McGrother, C Jagger
1Department of Medicine for the Elderly, Leicester General Hospital.
Journal of Public Health Medicine
|September 1, 1994
Summary
Prostatectomy effectively treats urinary symptoms like urge-incontinence and urgency. While most symptoms improve, nocturia and frequency may persist post-surgery.
Area of Science:
- Urology
- Surgical Outcomes
Background:
- Urinary symptoms are common after prostatectomy.
- Understanding post-prostatectomy symptom prevalence is crucial.
Purpose of the Study:
- Determine the prevalence of urinary symptoms post-prostatectomy.
- Analyze the relationship between pre- and post-operative urinary symptoms.
Main Methods:
- Retrospective postal survey conducted 1-2 years after transurethral resection.
- Questionnaires sent to 465 unselected patients; 78% response rate.
Main Results:
- 92% of preoperative urge-incontinence resolved.
- Urgency and hesitancy responded well to prostatectomy.
- Nocturia, frequency, and dribbling showed less improvement; symptoms tended to persist.
Conclusions:
- Prostatectomy is effective for urge-incontinence, urgency, incontinence, and hesitancy.
- Results align with prospective studies.
- Postal surveys offer a cost-effective method for evaluating prostatectomy services.