1. ERECTILE DYSFUNCTION AND URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY -IMPORTANT FACTORS IN THE PERCEPTION OF THE QUALITY OF LIFE.
- Author
-
BEALCU, FLORENTINA, ARMEAN, PETRE, GHINESCU, MINERVA, DELCĂ, ANCA, and DOMNARIU, CARMEN DANIELA
- Subjects
- *
URINARY incontinence , *IMPOTENCE , *QUALITY of life , *RETROPUBIC prostatectomy , *PROSTATECTOMY , *PATIENT satisfaction - Abstract
Erectile dysfunction (ED) and the urinary incontinence (UI), are the most important complications after radical prostatectomy (RP), with a strong impact on the quality of life and the satisfaction of the patients. Materials and Methods: The study involved 98 patients with prostate cancer, from Fundeni Clinical Institute selected for retropubic RP. The prospective analytical observational non-randomized study had two steps: 2014-2015 and 2017-2018 at 3 years postoperatively. Results and discussions: On discharge, postoperative UI was present in 83.7% of the patients, up to 1 year in 21.9%, after two years in 13.6% and finally, after more than three years in 9.4%. 81% of the patients with serious postoperative ED were >60 years, the Chi-square testp= 0.075, and 16.7% of the patients declared declare "medium/low erection" at 3 years. There is a probability of >9.23 or (2.62-32.46), p=0.001, of presenting mild ED after surgery if nerve sparing is to be preserved. The aspects of quality of life differ significantly statistically depending on postoperative ED, Lawley-Hotelling test--p=0.0017.Conclusions: RP can negatively affect the quality of life, causing both UI and ED, which is way, enhancing postoperative sexual continence and function, can be done through changes in the lifestyle, physical exercises, and pharmacotherapy. [ABSTRACT FROM AUTHOR]
- Published
- 2019