Comparative analysis of short - term functional outcomes and quality of life in a prospective series of brachytherapy and Da Vinci robotic prostatectomy
| Autor: | C. Belén Congregado-Ruíz, Ignacio Osman-García, Cristina García-Sánchez, J. Manuel Conde-Sánchez, R.A. Medina-López, Ana A. Román Martín |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Urology medicine.medical_treatment Brachytherapy 030232 urology & nephrology lcsh:RC870-923 Severity of Illness Index 03 medical and health sciences Prostate cancer Postoperative Complications 0302 clinical medicine Erectile Dysfunction Robotic Surgical Procedures Quality of life Surveys and Questionnaires medicine Humans Prospective Studies Robotic prostatectomy First revision Prostatectomy Series (stratigraphy) business.industry Prostatic Neoplasms Dose-Response Relationship Radiation Middle Aged Erectile function lcsh:Diseases of the genitourinary system. Urology medicine.disease Surgery Treatment Outcome Urinary Incontinence 030220 oncology & carcinogenesis Quality of Life Original Article business |
| Zdroj: | International Brazilian Journal of Urology, Vol 43, Iss 2, Pp 216-223 International braz j urol v.43 n.2 2017 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 43, Issue: 2, Pages: 216-223, Published: APR 2017 International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology |
| ISSN: | 1677-5538 |
| Popis: | Introduction There is a growing interest in achieving higher survival rates with the lowest morbidity in localized prostate cancer (PC) treatment. Consequently, minimally invasive techniques such as low-dose rate brachytherapy (BT) and robotic-assisted prostatectomy (RALP) have been developed and improved. Comparative analysis of functional outcomes and quality of life in a prospective series of 51BT and 42Da Vinci prostatectomies DV Materials and Methods Comparative analysis of functional outcomes and quality of life in a prospective series of 93 patients with low-risk localized PC diagnosed in 2011. 51patients underwent low-dose rate BT and the other 42 patients RALP. IIEF to assess erectile function, ICIQ to evaluate continence and SF36 test to quality of life wee employed. Results ICIQ at the first revision shows significant differences which favour the BT group, 79% present with continence or mild incontinence, whereas in the DV group 45% show these positive results. Differences disappear after 6 months, with 45 patients (89%) presenting with continence or mild incontinence in the BT group vs. 30 (71%) in the DV group. 65% of patients are potent in the first revision following BT and 39% following DV. Such differences are not significant and cannot be observed after 6 months. No significant differences were found in the comparative analysis of quality of life. Conclusions ICIQ after surgery shows significant differences in favour of BT, which disappear after 6 months. Both procedures have a serious impact on erectile function, being even greater in the DV group. Differences between groups disappear after 6 months. |
| Databáze: | OpenAIRE |
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