Limited impact of erectile function on health‐related quality of life in Japanese men undergoing robot‐assisted radical prostatectomy. (17th February 2022)

• Record Type: Journal Article
• Authors: Tamura, Keita; Matsushita, Yuto; Watanabe, Hiromitsu; Motoyama, Daisuke; Ito, Toshiki; Sugiyama, Takayuki; Otsuka, Atsushi; Miyake, Hideaki
• Is Part Of: International journal of urology. Volume 29:Number 9(2022)
• Page Start: 956
• Page End: 961
• Publication Date: 2022-02-17
• Subjects: erectile function -- health‐related quality of life -- robot‐assisted radical prostatectomy; Urology -- Periodicals; Genitourinary organs -- Periodicals; Urologic Diseases -- Periodicals; 616.6005
• DOI: 10.1111/iju.14826
• Languages: English
• ISSNs: 0919-8172

Abstract

Abstract : Objective: To investigate the impact of erectile function on health‐related quality of life in Japanese prostate cancer patients following robot‐assisted radical prostatectomy. Methods: Time‐dependent changes in erectile function and health‐related quality of life were assessed using the erection hardness score and Medical Outcomes Study 8‐Item Short Form Health Survey, respectively, in 229 consecutive Japanese patients undergoing robot‐assisted radical prostatectomy. In this series, patients with erection hardness score ≥2 were considered to those having a certain erectile function. Results: Among the 229 patients examined, erection hardness score ≥2 was observed in 134 (58.5%) and 34 (14.9%) before and 12 months after robot‐assisted radical prostatectomy, respectively. Prior to robot‐assisted radical prostatectomy, all eight scale scores of 8‐Item Short Form Health Survey were significantly superior in patients with erection hardness score ≥2 than in those with erection hardness score = 0 or 1. However, significant differences were observed in two scale scores between patients with erection hardness score ≥2 and those with erection hardness score = 0 or 1 at 12 months after robot‐assisted radical prostatectomy. Furthermore, among patients with erection hardness score ≥2 before robot‐assisted radical prostatectomy, no significant differences were noted in any of the eight scale scores between patients with erection hardness score ≥2 and erection hardness score = 0 or 1 at 12 months after robot‐assisted radical prostatectomy. Conclusion: These findings suggest the limited impact of erectile function on postoperative health‐related quality of life in Japanese patients undergoing robot‐assisted radical prostatectomy.