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Anguas-Gracia A, Antón-Solanas I, Echániz-Serrano E, Subirón-Valera AB, Rodríguez-Roca B, Juárez-Vela R, Satustegui-Dordá PJ, Fernández-Rodríguez MT, Gea-Caballero V, Tejada-Garrido CI, Cobos-Rincón A, Urcola-Pardo F. Quality of Life after Radical Prostatectomy: A Longitudinal Study. NURSING REPORTS 2023; 13:1051-1063. [PMID: 37606460 PMCID: PMC10443267 DOI: 10.3390/nursrep13030092] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 07/26/2023] [Accepted: 08/02/2023] [Indexed: 08/23/2023] Open
Abstract
BACKGROUND Men with prostate cancer who undergo radical prostatectomy experience a decrease in quality of life, often related to sexual disfunction and urinary incontinence. Knowing and measuring the impact of radical prostatectomy on the individual's social, emotional, and family quality of life could help to plan and develop an appropriate, patient-centred therapeutic approach. AIM In this study, we aimed to evaluate changes in quality of life of patients with prostate cancer before and after radical prostatectomy. METHODS A longitudinal, observational study of 114 participants was conducted using the method of test-retest. Quality of life before and after radical prostatectomy was measured through the following self-administered questionnaires: (1) The EORTC QLQ-C30 in its Spanish version was used to assess the generic quality of life the participants; (2) the EORTC QLQ-PR25 in its Spanish version was used to assess the specific, health-related quality of life of prostate cancer patients. RESULTS A total of 114 men took part in this study. The results from the QLQ-C30 questionnaire indicated an improvement in the dimensions of emotional role and cognitive function, as well as in the symptoms of fatigue, pain, nausea and vomiting, insomnia, and loss of appetite, after surgery. Patients scored lower in the dimensions of role functioning, social function, and economic impact after radical prostatectomy. According to the results from the QLQ-PR25 questionnaire, 61.40% of the participants experienced sexual impotence and 26.31% suffered urinary incontinence after surgery. There were significant differences in some postsurgical outcomes between patients who had neurovascular bundles preserved and those who had not. CONCLUSIONS In-depth knowledge of, and measurement of changes in, quality of life after radical prostatectomy should allow for comprehensive, multidisciplinary, patient-centred care planning. Psychosocial assessment, both before and after surgery, is crucial in patients with prostate cancer. This study was prospectively registered with the CEIC-A on 2012-06-27, with registration number C.P.-C.I. PI12/0088.
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Affiliation(s)
- Ana Anguas-Gracia
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
- Research Group in Care (GIIS081), Institute for Health Research Aragón, University Clinical Hospital Lozano Blesa, 50009 Zaragoza, Spain
| | - Isabel Antón-Solanas
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Emmanuel Echániz-Serrano
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Ana Belén Subirón-Valera
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
- Research Group in Care (GIIS081), Institute for Health Research Aragón, University Clinical Hospital Lozano Blesa, 50009 Zaragoza, Spain
| | - Beatriz Rodríguez-Roca
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Raúl Juárez-Vela
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
- GRUPAC, Research Group in Care, University of La Rioja, 26004 Logroño, Spain
- INCUisA Biomedical Research Center of La Rioja, 26004 Logroño, Spain
| | - Pedro José Satustegui-Dordá
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - María Teresa Fernández-Rodríguez
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
| | - Vicente Gea-Caballero
- Faculty of Health Sciences, Valencia International University, 46002 Valencia, Spain
- Community Health and Care Research Group, Faculty of Health Sciences, Valencian International University, 46002 Valencia, Spain
| | - Clara Isabel Tejada-Garrido
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
- GRUPAC, Research Group in Care, University of La Rioja, 26004 Logroño, Spain
- INCUisA Biomedical Research Center of La Rioja, 26004 Logroño, Spain
| | - Ana Cobos-Rincón
- Department of Nursing, Faculty of Health Sciences, University of La Rioja, 26004 Logroño, Spain; (C.I.T.-G.); (A.C.-R.)
- GRUPAC, Research Group in Care, University of La Rioja, 26004 Logroño, Spain
- INCUisA Biomedical Research Center of La Rioja, 26004 Logroño, Spain
| | - Fernando Urcola-Pardo
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, Spain; (A.A.-G.); (I.A.-S.); (E.E.-S.); (A.B.S.-V.); (B.R.-R.); (P.J.S.-D.); (M.T.F.-R.); (F.U.-P.)
- SAPIENF Research Group (B53_23R), University of Zaragoza, 50009 Zaragoza, Spain
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Rosenberg JE, Jung JH, Lee H, Lee S, Bakker CJ, Dahm P. Posterior musculofascial reconstruction in robotic-assisted laparoscopic prostatectomy for the treatment of clinically localized prostate cancer. Cochrane Database Syst Rev 2021; 8:CD013677. [PMID: 34365635 PMCID: PMC9746600 DOI: 10.1002/14651858.cd013677.pub2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
BACKGROUND Delayed recovery of urinary continence is a major adverse effect of robotic-assisted laparoscopic prostatectomy (RALP) in men undergoing prostate cancer treatment. To address this issue, a number of surgical techniques have been designed to reconstruct the posterior aspect of the rhabdosphincter, which is responsible for urinary continence after removal of the prostate; however, it is unclear how well they work. OBJECTIVES: To assess the effects of posterior musculofascial reconstruction RALP compared to no posterior reconstruction during RALP for the treatment of clinically localized prostate cancer. SEARCH METHODS We performed a comprehensive search of the Cochrane Library, MEDLINE, Embase, three other databases, trials registries, other sources of the grey literature, and conference proceedings, up to 12 March 2021. We applied no restrictions on publication language or status. SELECTION CRITERIA We included randomized controlled trials (RCTs) in which participants were randomized to undergo variations of posterior musculofascial reconstruction RALP versus no posterior reconstruction during RALP for clinically localized prostate cancer. DATA COLLECTION AND ANALYSIS Two review authors independently classified studies and abstracted data from the included studies. Primary outcomes were: urinary continence recovery within one week after catheter removal, at three months after surgery, and serious adverse events. Secondary outcomes were: urinary continence recovery at six and twelve months after surgery, potency recovery twelve months after surgery, positive surgical margins (PSM), and biochemical recurrence-free survival (BCRFS). We performed statistical analyses using a random-effects model. We rated the certainty of evidence (CoE) according to the GRADE approach. MAIN RESULTS Our search identified 13 records of eight unique RCTs, of which six were published studies and two were abstract proceedings. We included 1085 randomized participants, of whom 963 completed the trials (88.8%). All participants had either cT1c or cT2 or cT3a disease, with a mean prostate-specific antigen level of 8.15 ng/mL. Primary outcomes Posterior reconstruction RALP (PR-RALP) may improve urinary continence one week after catheter removal compared to no posterior reconstruction during RALP (risk ratio (RR) 1.25, 95% confidence interval (CI) 0.90 to 1.73; I2 = 42%; studies = 5, participants = 498; low CoE) although the CI also includes the possibility of no effect. Assuming 335 per 1000 men undergoing standard RALP are continent at this time point, this corresponds to 84 more men per 1000 (33 fewer to 244 more) reporting urinary continence recovery. Posterior reconstruction may have little to no effect on urinary continence three months after surgery compared to no posterior reconstruction during RALP (RR 0.98, 95% CI 0.84 to 1.14; I2 = 67%; studies = 6, participants = 842; low CoE). Assuming 701 per 1000 men undergoing standard RALP are continent at this time point, this corresponds to 14 fewer men per 1000 (112 fewer to 98 more) reporting urinary continence after three months. PR-RALP probably results in little to no difference in serious adverse events compared to no posterior reconstruction during RALP (RR 0.75, 95% CI 0.29 to 1.92; I2 = 0%; studies = 6, participants = 835; moderate CoE). Assuming 25 per 1000 men undergoing standard RALP experience a serious adverse event at this time point, this corresponds to six fewer men per 1000 (17 fewer to 23 more) reporting serious adverse events. Secondary outcomes PR-RALP may result in little to no difference in recovery of continence 12 months after surgery compared to no posterior reconstruction during RALP (RR 1.02, 95% CI 0.98 to 1.07; I2 = 25%; studies = 3, participants = 602; low CoE). Assuming 918 per 1000 men undergoing standard RALP are continent at this time point, this corresponds to 18 more men per 1000 (18 fewer to 64 more) reporting urinary continence recovery. We are very uncertain about the effects of PR-RALP on recovery of potency 12 months after surgery compared to no posterior reconstruction during RALP (RR 1.02, 95% CI 0.82 to 1.26; I2 = 3%; studies = 2, participants = 308; very low CoE). Assuming 433 per 1000 men undergoing standard RALP are potent at this time point, this corresponds to nine more men per 1000 (78 fewer to 113 more) reporting potency recovery. PR-RALP may result in little to no difference in positive surgical margins compared to no posterior reconstruction during RALP (RR 1.24, 95% CI 0.65 to 2.33; I2 = 50%; studies = 3, participants = 517; low CoE). Assuming 130 per 1000 men undergoing standard RALP have a positive surgical margin, this corresponds to 31 more men per 1000 (46 fewer to 173 more) reporting positive surgical margins. PR-RALP may result in little to no difference in biochemical recurrence compared to no posterior reconstruction during RALP (RR 1.36, 95% CI 0.74 to 2.52; I2 = 0%; studies = 2, participants = 468; low CoE). Assuming 70 per 1000 men undergoing standard RALP have experienced biochemical recurrence at this time point, this corresponds to 25 more men per 1000 (18 fewer to 107 more) reporting biochemical recurrence. AUTHORS' CONCLUSIONS: This review found evidence that PR-RALP may improve early continence one week after catheter removal but not thereafter. Meanwhile, adverse event rates are probably not impacted and surgical margins rates are likely similar. This review was unable to determine if or how these findings may be impacted by the person's age, nerve-sparing status, or clinical stage. Study limitations, imprecision, and inconsistency lowered the certainty of evidence for the outcomes assessed.
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Affiliation(s)
- Joel E Rosenberg
- University of Minnesota Medical School, University of Minnesota, Minneapolis, Minnesota, USA
| | - Jae Hung Jung
- Department of Urology, Yonsei University Wonju College of Medicine, Wonju, Korea, South
- Center of Evidence-Based Medicine, Institute of Convergence Science, Yonsei University, Seoul, Korea, South
| | - Hunju Lee
- Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea, South
| | - Solam Lee
- Department of Preventive Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea, South
| | - Caitlin J Bakker
- Health Sciences Libraries, University of Minnesota, Minneapolis, Minnesota, USA
| | - Philipp Dahm
- Urology Section, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA
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Zhang S, Liang C, Qian J, Liu Y, Lv Q, Li J, Li P, Shao P, Wang Z. The Impact of Three Different Bladder Neck Reconstruction Techniques on Urinary Continence after Laparoscopic Radical Prostatectomy. J Endourol 2020; 34:663-670. [PMID: 32228027 DOI: 10.1089/end.2020.0064] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Affiliation(s)
- Shaobo Zhang
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Chao Liang
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Jian Qian
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Yiyang Liu
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Qiang Lv
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Jie Li
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Pu Li
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Pengfei Shao
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
| | - Zengjun Wang
- Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China
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Arroyo C, Martini A, Wang J, Tewari AK. Anatomical, surgical and technical factors influencing continence after radical prostatectomy. Ther Adv Urol 2019; 11:1756287218813787. [PMID: 30671134 PMCID: PMC6329031 DOI: 10.1177/1756287218813787] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 10/17/2018] [Indexed: 12/12/2022] Open
Abstract
Radical prostatectomy (RP) is the most frequent treatment with curative intent performed for prostate cancer to date. Different surgical approaches (perineal, transperitoneal, and extraperitoneal) and techniques (laparoscopic and robot assisted) have been described to increase the efficiency and potentially diminish the postoperative complications of this procedure. The aim of this narrative review is to investigate and define the factors that influence postprostatectomy urinary continence. We highlighted the anatomical landmarks and the modifications of surgical techniques aimed at improving the continence rates and thus, patient quality of life. After RP, the long-term continence rates range from 84% to 97%. In order to achieve good continence rates, a careful dissection along with meticulous anatomical reconstruction is required. To this end, a detailed knowledge of the periprostatic anatomy is mandatory.
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Affiliation(s)
- Carlos Arroyo
- Department of Urology, Hospital Ángeles Puebla, Universidad Anahuac, School of Medicine, Puebla, c.p.72820, Puebla, Mexico
| | - Alberto Martini
- Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA
| | - Joanna Wang
- Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA
| | - Ashutosh K Tewari
- Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA
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Brassetti A, Bollens R. Laparoscopic radical prostatectomy in 2018: 20 years of worldwide experiences, experimentations, researches and refinements. MINERVA CHIR 2018; 74:37-53. [PMID: 29658681 DOI: 10.23736/s0026-4733.18.07740-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
INTRODUCTION After the first feasibility report in 1997, a growing interest has risen in the urologic community for laparoscopic radical prostatectomy (LRP) and several authors have contributed to the evolution of the technique. We attempt a review of the available evidences and provide a broad framework of different technical refinements considering their impact on pentafecta. EVIDENCE ACQUISITION The PubMed/Medline database was searched. Duplicates and "Expert opinion" papers were removed. Studies were included according to the aim of the present paper to present a selected review on LRP and report our personal experience. EVIDENCE SYNTHESIS In 1999 Guillonneau et al. codified their transperitoneal-posterior-antegrade technique for LRP. Since then, several modifications of the transperitoneal approach were published and the extraperitoneal route was also proposed. Sparing the bladder neck and reconstructing the posterior muscolofascial plate were proven to improve continence rate. Nerve-sparing LRP were performed in order to maximize postoperative recovery of the sexual function. Novel techniques to ligate the Santorini plexus and sew the urethrovesical anastomosis provided improvement in operative time, intraoperative blood loss and reduced the incidence of postoperative urinary-leakages. In the recent years, the single-site approach as pushed the limits of LRP and three-dimensional (3D) systems for endoscopic surgery were developed. CONCLUSIONS Thanks to several technical improvements, LRP provides brilliant oncologic and functional outcomes and it is now considered the treatment of choice in many institutions worldwide. Although it is a technically demanding procedure, the recent introduction of 3D systems will reduce the steepness of its learning curve.
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Affiliation(s)
- Aldo Brassetti
- Department of Urology, Vincenzo Pansadoro Foundation, Center for Laparoscopic Urology and Medical Oncology, Rome, Italy -
| | - Renaud Bollens
- Department of Urology, Université Nord de France, St Phillibert Hospital, GHICL, Lille, France.,Wallonie Picarde Hospital, Tournai, Belgium
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Cui J, Guo H, Li Y, Chen S, Zhu Y, Wang S, Wang Y, Liu X, Wang W, Han J, Chen P, Nie S, Yin G, Shi B. Pelvic Floor Reconstruction After Radical Prostatectomy: A Systematic Review and Meta-analysis of Different Surgical Techniques. Sci Rep 2017; 7:2737. [PMID: 28578433 PMCID: PMC5457408 DOI: 10.1038/s41598-017-02991-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Accepted: 04/21/2017] [Indexed: 11/09/2022] Open
Abstract
Radical prostatectomy (RP) is the gold standard for the treatment of localized PCa. A meta-analysis was conducted to evaluate the effect of different techniques of pelvic floor reconstruction on urinary continence. A comprehensive search was made for trials that evaluated the efficacy of pelvic floor reconstruction. Relevant databases included PubMed, Embase, Cochrane, Ovid, Web of Science databases and relevant trials from the references. Random-effects model was used to estimate risk ratios (RRs) statistics. Pooled results of patients treated with posterior reconstruction (PR) demonstrated complete urinary continence improved at 1-4, 28-42, 90, 180 and 360 days following catheter removal. Anterior suspension (AS) was associated with improvement only at 28-42 days. The anterior reconstruction (AR) + PR was associated with urinary continence at 1-4, 90 and 180 days. AS + PR was not associated with any benefit. And PR improved social urinary continence at 7-14 and 28-42 days. No benefit was associated with AS. AR + PR had better outcomes at 90 and 180 days. AS + PR was significant improved at 28-42 and 90 days. Patients who underwent RP and PR had the least urinary incontinence. No significant benefit was observed after AS. AR + PR and AS + PR had little benefit in the post-operative period.
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Affiliation(s)
- Jianfeng Cui
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Hu Guo
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Yan Li
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Shouzhen Chen
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Yaofeng Zhu
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Shiyu Wang
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Yong Wang
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Xigao Liu
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Wenbo Wang
- Department of Endocrinology and Metabolism, Shandong Provincial Hospital affiliated to Shandong University, Jinan, Shandong, 250021, P.R. China
| | - Jie Han
- Department of Radiation Oncology, Shandong Cancer Hospital and Institute affiliated to Shandong University, Jinan, Shandong, China
| | - Pengxiang Chen
- Department of Radiation Oncology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Shuping Nie
- Clinical Epidemiology Unit, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China
| | - Gang Yin
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China.
| | - Benkang Shi
- Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong, 250012, P.R. China.
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Gratzke C, Dovey Z, Novara G, Geurts N, De Groote R, Schatteman P, de Naeyer G, Gandaglia G, Mottrie A. Early Catheter Removal after Robot-assisted Radical Prostatectomy: Surgical Technique and Outcomes for the Aalst Technique (ECaRemA Study). Eur Urol 2016; 69:917-23. [DOI: 10.1016/j.eururo.2015.09.052] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2015] [Accepted: 09/29/2015] [Indexed: 11/24/2022]
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8
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Grasso AA, Mistretta FA, Sandri M, Cozzi G, De Lorenzis E, Rosso M, Albo G, Palmisano F, Mottrie A, Haese A, Graefen M, Coelho R, Patel VR, Rocco B. Posterior musculofascial reconstruction after radical prostatectomy: an updated systematic review and a meta-analysis. BJU Int 2016; 118:20-34. [DOI: 10.1111/bju.13480] [Citation(s) in RCA: 64] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Angelica A.C. Grasso
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | - Francesco A. Mistretta
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | - Marco Sandri
- DMS StatLab; Data Methods and Systems Statistical Laboratory; University of Brescia; Brescia Italy
| | - Gabriele Cozzi
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | - Elisa De Lorenzis
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | - Marco Rosso
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | - Giancarlo Albo
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | - Franco Palmisano
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
| | | | - Alexander Haese
- Martini Clinic Prostate Cancer Center; University Clinic Eppendorf; Hamburg Germany
| | - Markus Graefen
- Martini Clinic Prostate Cancer Center; University Clinic Eppendorf; Hamburg Germany
| | - Rafael Coelho
- Global Robotics Institute; Florida Hospital-Celebration Health Celebration; University of Central Florida School of Medicine; Orlando FL USA
| | - Vipul R. Patel
- Global Robotics Institute; Florida Hospital-Celebration Health Celebration; University of Central Florida School of Medicine; Orlando FL USA
| | - Bernardo Rocco
- Department of Urology; Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico; University of Milan; Milan Italy
- Global Robotics Institute; Florida Hospital-Celebration Health Celebration; University of Central Florida School of Medicine; Orlando FL USA
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Jeong CW, Lee JK, Oh JJ, Lee S, Jeong SJ, Hong SK, Byun SS, Lee SE. Effects of New 1-Step Posterior Reconstruction Method on Recovery of Continence after Robot-Assisted Laparoscopic Prostatectomy: Results of a Prospective, Single-Blind, Parallel Group, Randomized, Controlled Trial. J Urol 2015; 193:935-42. [DOI: 10.1016/j.juro.2014.10.023] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/06/2014] [Indexed: 10/24/2022]
Affiliation(s)
- Chang Wook Jeong
- Department of Urology, Seoul National University Hospital, Seoul, Republic of Korea
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
| | - Jung Keun Lee
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Jong Jin Oh
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Sangchul Lee
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Seong Jin Jeong
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Sung Kyu Hong
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Seok-Soo Byun
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Sang Eun Lee
- Department of Urology, College of Medicine, Seoul National University, Seoul, Republic of Korea
- Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
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Li XJ, Dai ZY, Zhu BY, Zhen JP, Yang WF, Li DQ. Effects of sertraline on executive function and quality of life in patients with advanced cancer. Med Sci Monit 2014; 20:1267-73. [PMID: 25047152 PMCID: PMC4114699 DOI: 10.12659/msm.890575] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Background The aim of this study was to investigate effects of the antidepressant sertraline on executive function and quality of life in patients with advanced cancer. Material/Methods We assigned 122 patients with stage III or IV cancer to the depressed group (DG, n=86) or the non-depressed group (NG, n=36). All subjects were given supportive treatment and patients in the DG received additional antidepressant treatment. Results There were significant differences in total scores of the Hamilton anxiety scale (HAMA) and the Hamilton depression scale (HAMD), performance in the Wisconsin card sorting test, and SF-36 domains. After antidepressant treatment, the level of depression and anxiety decreased significantly in the DG, but was still significantly higher than in the NG. Low executive function was enhanced in the DG, but a worsening executive function was found in total errors in the NG (−2.3±3.8) (P<0.05). The dimensions of SF-36 in physical functioning (PF), role limitations-physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role limitations-emotional (RE), and mental health (MH) were decreased significantly at baseline in the DG compared to the NG (P<0.01). After 12-week Sertraline treatment, improvement in the DG in factors VT, SF, RE, and MH were more powerful than in the NG (P<0.05). HAMA, HAMD, and VAS scores and tumor stage were significantly correlated to any one dimension of quality of life. Conclusions Depression is an important cause of decreased quality of life and executive function in patients with advanced cancer. The antidepressant sertraline can improve the executive function and quality of life, which may be helpful in the clinical practice of cancer treatment.
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Affiliation(s)
- Xu-Juan Li
- Department of Psychiatry, First Affiliated Hospital of Zhejiang University, Hangzhou, China (mainland)
| | - Zhi-Yuan Dai
- Department of Preventive Medicine, Xiaoying Street Community Health Center, Hangzhou, China (mainland)
| | - Bei-Ying Zhu
- Department of Psychiatry, First Affiliated Hospital of Zhejiang University, Hangzhou, China (mainland)
| | - Jia-Ping Zhen
- Department of Oncology, Zhejiang Hospital of Oncology, Hangzhou, China (mainland)
| | - Wen-Fu Yang
- Department of Breast Surgery, Shanxi Hospital of Oncology, Taiyuan, China (mainland)
| | - De-Qiang Li
- Department of Integrated Internal Medicine, First Affiliated Hospital of Zhejiang University, Hangzhou, China (mainland)
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