Quality of Life for Patients Treated for Penile Cancer
| Autor: | Simon Horenblas, Neil K. Aaronson, Rosa S. Djajadiningrat, Niels M. Graafland, Jacobien M. Kieffer, Erik van Muilekom |
|---|---|
| Přispěvatelé: | Klinische Psychologie (Psychologie, FMG) |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Urologic Surgical Procedures Male Urology medicine.medical_treatment media_common.quotation_subject Antineoplastic Agents Orgasm Quality of life Surveys and Questionnaires medicine Carcinoma Humans Penile cancer Neoplasm Metastasis Penile Neoplasms Aged Retrospective Studies media_common Aged 80 and over Penectomy business.industry Middle Aged Prognosis medicine.disease Surgery Sexual dysfunction medicine.anatomical_structure Quality of Life Lymph Node Excision Lymphadenectomy medicine.symptom business Sexuality Penis Follow-Up Studies |
| Zdroj: | The journal of urology, 192(4), 1105-1110. Elsevier |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/j.juro.2014.04.014 |
| Popis: | Purpose: We assessed the impact of primary surgery, including penile sparing surgery vs (partial) penectomy and lymphadenectomy, on sexuality and health related quality of life.Materials and Methods: We invited 147 patients surgically treated for penile cancer at our institution between 2003 and 2008 to complete the IIEF-15, SF-36®, IOC (version 2) and questions on urinary function. We evaluated the impact of primary surgery type and lymphadenectomy on these outcomes. We also compared patient SF-36 scores with those of an age and gender matched normative sample from the general Dutch population.Results: A total of 90 patients (62%) returned a completed questionnaire. Surgery type and extent were not associated significantly with most of the study outcomes assessed. However, men who underwent (partial) penectomy reported significantly more problems than those treated with penile sparing surgery, including orgasm (effect size 0.54, p = 0.031), appearance concerns (effect size 0.61, p = 0.008), life interference (effect size 0.49, p = 0.032) and urinary function (83% vs 43%, p Conclusions: Few differences were observed in sexuality and health related quality of life as a function of primary surgery and lymphadenectomy. However, (partial) penectomy and lymphadenectomy were associated with more problems with orgasm, body image, life interference and urination. Additional longitudinal studies are warranted to evaluate individual changes with time in these outcomes. |
| Databáze: | OpenAIRE |
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