Quantification of Long-term Stability and Specific Relief of Lower Urinary Tract Symptoms (LUTS) After Robot-assisted Radical Prostatectomy
| Autor: | Douglas Skarecky, Louis Eichel, Harleen Dhaliwal, Blanca Morales, Kathryn Osann, Thomas E. Ahlering, Adam Gordon |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Urologic Diseases medicine.medical_specialty Time Factors Urology Urinary system medicine.medical_treatment Clinical Sciences 030232 urology & nephrology Article 03 medical and health sciences 0302 clinical medicine Quality of life Lower Urinary Tract Symptoms Robotic Surgical Procedures Lower urinary tract symptoms Clinical Research medicine Humans In patient Prospective Studies Single institution Prospective cohort study Prostatectomy Urinary symptoms business.industry Remission Induction Middle Aged Urology & Nephrology medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis Quality of Life business |
| Popis: | ObjectiveTo assist in preoperative counseling by assessing long-term changes in American Urological Association symptom scores (AUAss) and lower urinary tract symptom (LUTS)-related quality of life (QOL) in patients undergoing robot-assisted radical prostatectomy (RARP).Materials and methodsRARP was performed on 666 men by one surgeon from 2002 to 2007 at a single institution. AUAss and QOL were queried preoperatively and at 3, 9, 15, 24-48, 60-84, and 96+ months postoperatively. LUTS subgroups were compared pre-/postsurgery using univariate and multivariate statistics.ResultsThe mean and median follow-up for all responders was 3.0 and 2.4 years. Pad-free continence at 12 months was 89%. A subset of 174 men reported preoperative and long-term responses; average follow-up was 5.8 years (range 4.0-10.3 years). AUAss for all men declined from baseline to 5 years by 3.7 (8.6 to 4.8) whereas QOL/Bother scores decreased by 0.5 (1.7 to 1.2) (all P |
| Databáze: | OpenAIRE |
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