Satisfaction Analysis In Men Presenting With Localized Prostate Cancer Treated With Radical Prostatectomy Or Radiotherapy: Psychological And Social Aspects [análisis De Satisfacción En Varones Que Presentaban Cáncer De Próstata Localizado Tratados Con Prostatectomía Radical O Radioterapia: Aspectos Psicológicos Y Sociales]

Abstract

Objective: Analyze the treatment satisfaction and impact on patients with localized prostate cancer. Methods: One-hundred and eighty patients, with mean age of 60 years, were divided into three groups: group I - 100 patients submitted to radical retropubic prostatectomy (RRP), group II - 40 patients who underwent radiotherapy (RT), and group III - 40 healthy men. A questionnaire was applied to the groups to assess physical and psychological changes 18 months after treatment, The investigational tool was based on two questionnaires; first: SF-36 (Short Form Health Survey), second: FACT-P (Functional Assessment Cancer Therapy). Results: In group I, 70% never used pads, 5% presented with complete urinary incontinence, and 10% reported occasional stool leakage. In group II, 85% did not use pads and 5% reported two pads a day; 15% reported stool leakage or intestinal cramps. Sexual dysfunction was similar in both groups: 75% of the surgical group and 72.5% of the radiotherapy group reported erectile dysfunction, In the control group, 40% reported erectile dysfunction; 10% reported occasional stool leakage and none had changes regarding the overall treatment-related satisfaction, Seventy-eight percent of the RRP group and 77.5% of the RT group reported being happy respecting satisfaction with the accepted or chosen treatment, and affirmed that would choose it again. Conclusions: The assessment of treatment-related satisfaction determines the treatment tolerability, This study's results did not show any significant changes in this issue between both treatment modalities (p>0.05).324411416Macdonagh, R., Quality of life and its assessments in urology (1996) Br. J. Urol, 78 (4), pp. 485-496Litwin, M.S., Hays, R.D., Fink, A., Ganz, P.A., Leake, B., Leach, G.E., Quality of life outcomes in men treated for localized prostate cancer (1995) JAMA, 273 (2), pp. 129-135Fosså, S.D., Woehre, H., Kurth, K.H., Hetherington, J., Bakke, H., Rustad, D.A., Influence of urological morbidity on quality of life in patients with prostate cancer (1997) Eur Urol, 31 (SUPPL. 3), pp. 3-8Krongrad, A., Litwin, M.S., Lai, H., Lai, S., Dimensions of quality of life in prostate cancer (1998) J. Urol, 160 (3 PART 1), pp. 807-810Litwin, M.S., Lubeck, D.P., Henning, J.M., Flanders, S.C., Differences in urologist and patient assessments of health related quality of life in men with prostate cancer (1998) J Urol, 159 (6), pp. 1988-1991Clark, J.A., Rieker, P., Propert, J.K., Talcott, J.A., Changes in quality of life following treatment for early prostate cancer (1999) Urology, 53 (1), pp. 161-168MeCammon, K.A., Kolm, P., Main, B., Schelhammer, P.F., Comparative quality of life analysis after radical prostatectomy or external beam radiation for localized prostate cancer (1999) Urology, 54 (3), pp. 509-516Walsh, P.C., Lepor, H., Eggleston, J.C., Radical retropubic prostatectomy with preservation of sexual function: Anatomical and pathological considerations (1983) Prostate, 4 (5), pp. 473-476Walsh, P.C., Radical prostatectomy for localized prostate cancer provides durable cancer control with excellent quality of life: A structured debate (2000) J Urol, 163 (6), pp. 1166-1170Caffo, O., Fellini, G., Graffer, U., Luciani, L., Assessment of quality of life after radiotherapy (1996) B J Urol, 78 (4), pp. 557-563Esper, P., Mo, F., Chodak, G., Sinner, M., Cella, D., Pienta, K.J., Measuring quality of life in men with prostate cancer using the Functional Assessment of Cancer Therapy-Prostate Instrument (1997) Urology, 50 (6), pp. 920-928Krongrad, A., Perczek, R.E., Burke, M.A., Granville, L.J., Lai, H., Lai, S., Reliability of spanish translations of select urological quality of life instruments (1997) J Urol, 158 (2), pp. 493-498Brasilis, K.G., Santa-Cruz, C., Brickman, A.L., Soloway, M.S., Quality of life 12 months after radical prostatectomy (1995) B J Urol, 75 (1), pp. 48-53Smith, D.S., Carvalhal, G.F., Schneider, K., Krygiel, J., Yan, Y., Catalona, W.J., Quality of life outcomes for men with prostate cancer detected by screening (2000) Cancer, 88 (6), pp. 1454-1463Lim, A.J., Brandon, A.H., Fiedler, J., Brickman, A.L., Boyer, C.I., Raub Jr, W.A., Quality of life: Radical Prostatectomy versus Radiation Therapy for prostate cancer (1998) JAMA, 272, pp. 129-135Goluboff, E.T., Saidi, J.A., Mazer, S., Bagiella, E., Heitjan, D.F., Benson, M.C., Urinary incontinence after radical prostatectomy: The Columbia Experience (1998) J Urol, 159 (4), pp. 1276-1280Kaye, K.W., Creed, K.E., Wilson, G.J., D'Antuono, M., Dawkins, H.J., Urinary continence after radical retropubic prostatectomy. Analysis and synthesis of contributing factors: A unified concept (1997) B J Urol, 80 (3), pp. 444-501Twiss, C., Martin, S., Shore, R., Lepor, H., A continence index predicts the early return of urinary continence after radical retropubic prostatectomy (2000) J Urol, 164 (4), pp. 1241-1247Kerr, L.A., Zincke, H., Radical retropubic prostatectomy for prostate cancer in the elderly and young: Complications and prognosis (1994) Eur Urol, 25 (4), pp. 305-311Beard, C.J., Propert, K.J., Rieker, P.P., Clark, J.A., Kaplan, I., Kantoff, P.W., Complications after treatment with external-beam irradiation in early-stage prostate cancer patients: A prospective multiinstitutional outcomes study (1997) J Clin Oncol, 15 (1), pp. 223-229Geary, E.S., Dendinger, T.E., Freiha, E.S., Nerve sparing radical prostatectomy: A different view (1995) J Urol, 154 (1), pp. 145-149Litwin, M.S., Pasta, D.J., Yu, J., Stoddard, M.L., Flanders, S.C., Urinary function and bother after radical prostatectomy or radiation therapy for prostate cancer. A longitudinal, multivariate quality of life analysis from the Cancer of Prostate Strategic Urologic Research Endeavor (2000) J Urol, 164 (6), pp. 1973-1977Zelefsky, M.J., McKee, A.B., Lee, H., Leibel, S.A., Efficacy of oral sildenafil in patients with erectile dysfunction after radiotherapy for carcinoma of the prostate (1999) Urology, 53 (4), pp. 775-778Johannes, C.B., Araujo, A.B., Feldman, H.A., Derby, C.A., Kleinman, K.P., McKinlay, J.B., Incidence on erectile dysfunction in men 40 to 69 years old: Longitudinal results from the Massachusetts Male Aging Study (2000) J Urol, 163 (2), pp. 460-465Siegel, T., Moul, J.W., Sperak, M., Alvord, G.W., Costabile, R.A., The development of erectile dysfunction in men treated for prostate cancer (2001) J Urol, 165 (2), pp. 430-435Gralnek, D., Hunter, W., Dalkin, B.L., Differences in sexual function and quality of life after nerve sparing and non nerve sparing radical retropubic prostatectomy (2000) J Urol, 163, pp. 1166-1170Nehra, A., Goldstein, I., Sildenafil citrate (Viagra) after radical retropubic prostatectomy: Con (1999) Urology, 54 (4), pp. 587-58