Article
Oncology
Favil Singh, Robert U. Newton, Dennis R. Taaffe, Pedro Lopez, Jeff Thavaseelan, Matthew Brown, Elayne Ooi, Kazunori Nosaka, Dickon Hayne, Daniel A. Galvao
Summary: This study compared the effectiveness of supervised exercise before and after prostatectomy in men with prostate cancer. The results showed that prehabilitation exercise improved muscle strength and function before surgery, while rehabilitation exercise post-surgery helped in recouping strength and function. The study suggests that engaging in exercise before surgery is beneficial for men undergoing prostatectomy.
JOURNAL OF CANCER RESEARCH AND CLINICAL ONCOLOGY
(2023)
Article
Oncology
Valentin H. Meissner, Cornelia Peter, Donna P. Ankerst, Stefan Schiele, Juergen E. Gschwend, Kathleen Herkommer, Andreas Dinkel
Summary: This longitudinal study investigates the course and predictors of prostate cancer-related anxiety in long-term survivors treated by radical prostatectomy. The study found that prostate cancer-related anxiety remains stable over 5 years, and factors such as initial anxiety levels, biochemical recurrence, and psychological well-being predict future anxiety.
Article
Oncology
Alicja Popiolek, Bartosz Brzoszczyk, Piotr Jarzemski, Malgorzata Piskunowicz, Marcin Jarzemski, Alina Borkowska, Maciej Bielinski
Summary: The quality of life (QoL) of prostate cancer (PC) survivors depends on various factors, including age, time since diagnosis, tumor stage, treatment, complications, and affective temperament. Depressive, cyclothymic, irritable, and anxious temperaments are associated with poorer QoL in specific domains, while a hyperthymic temperament does not show this association.
CANCER MANAGEMENT AND RESEARCH
(2022)
Article
Surgery
Ankita Chitre, Jagdeesh N. Kulkarni
Summary: Post-prostatectomy urinary incontinence has a negative impact on patients' well-being and quality of life. Direct damage and manipulation during surgery are believed to be the primary causes, and pelvic floor muscle rehabilitation can help improve continence and quality of life. Early Kegel exercises have a definitive effect in promoting the recovery of urinary control.
JOURNAL OF ROBOTIC SURGERY
(2023)
Article
Urology & Nephrology
Marius Cristian Butea-Bocu, Guido Muller, Daniel Pucheril, Eckhard Kroeger, Ullrich Otto
Summary: This study investigated the functional and surgical outcomes of patients undergoing radical prostatectomy at a German Cancer Society certified center compared to those at a non-certified hospital. The results showed that patients treated at certified centers had better urinary continence, higher nerve-sparing rates, and lower positive-margin rates upon rehabilitation, indicating superior care at DKG certified centers.
WORLD JOURNAL OF UROLOGY
(2021)
Review
Urology & Nephrology
Nicholas G. Zaorsky, Jeremie Calais, Stefano Fanti, Derya Tilki, Tanya Dorff, Daniel E. Spratt, Amar U. Kishan
Summary: Biochemical recurrence after radical prostatectomy is common in intermediate-risk and high-risk prostate cancer patients. The optimal management includes a comprehensive evaluation with novel techniques like PET imaging and genomic analysis, along with consideration of traditional clinical variables. Salvage radiotherapy is the only known curative intervention for these patients without metastatic disease, but the importance of accurate timing, radiation dose, and systemic therapy must be emphasized.
NATURE REVIEWS UROLOGY
(2021)
Article
Rehabilitation
Elif Gezginci, Sonay Goktas, Aysenur Ata
Summary: This study aimed to evaluate the effects of a perioperative pelvic floor muscle training program on post-radical prostatectomy patients' urinary incontinence symptoms and quality of life. The results showed that after 3 months, patients in the pelvic floor muscle training group had significantly lower scores for incontinence symptoms and voiding, incontinence, frequency, nocturia symptoms, and higher quality of life scores compared to the control group.
CLINICAL REHABILITATION
(2023)
Article
Multidisciplinary Sciences
Wei-Hsin Chen, Yu Khun Lee, Hann-Chorng Kuo, Jen-Hung Wang, Yuan-Hong Jiang
Summary: This study examined the outcomes of robot-assisted radical prostatectomy (RaRP) in high-risk and very high-risk prostate cancer patients. The results showed that high-risk/very high-risk patients without adjuvant treatment had worse biochemical recurrence-free survival compared to those with adjuvant treatment. However, the combination of RaRP and adjuvant treatment resulted in comparable biochemical recurrence-free survival for high-risk/very high-risk patients and below high-risk patients. Additionally, high-risk/very high-risk patients had higher rates of stress urinary incontinence at postoperative week 1 and month 1 compared to below high-risk patients, but there was no significant difference in incontinence rates between the two groups from postoperative 3 months to 12 months.
Article
Urology & Nephrology
Lin Yang, Andrew Harper, Kellie R. Imm, Robert L. Grubb, Eric H. Kim, Graham A. Colditz, Kathleen Y. Wolin, Adam S. Kibel, Siobhan Sutcliffe
Summary: This study aimed to examine the influence of weight status on urinary and sexual function in prostate cancer patients treated by radical prostatectomy. The results showed that nonobese patients had similar urinary function but better sexual function before surgery. After 1 year, approximately half of the patients had recovered to baseline levels for urinary function, while less than one-third had recovered for sexual function. Nonobese patients had better urinary and sexual function post-surgery, with a higher likelihood of recovery in urinary function at the 6-month assessment.
Article
Radiology, Nuclear Medicine & Medical Imaging
Hannah Lamberg, Prasad R. Shankar, Karandeep Singh, Elaine M. Caoili, Arvin K. George, Caitlin Hackett, Anna Johnson, Matthew S. Davenport
Summary: This study aimed to evaluate the predictive ability and interrater agreement of MRI-based anatomic measurements, specifically the coronal membranous urethra length (MUL), for urinary continence after radical prostatectomy (RP). The study found that longer MUL was associated with improved continence outcomes after RP, while other MRI variables had no predictive ability. Age and baseline urinary function score were the only other predictive clinical variables. Interrater agreement of MRI variables was moderate among readers with specific training and poor among those without training.
Article
Urology & Nephrology
Thilo Westhofen, Alexander Buchner, Veeru Kasivisvanathan, Simon Lennartz, Boris Schlenker, Armin Becker, Christian G. Stief, Alexander Kretschmer
Summary: This study found that baseline health-related quality of life is a valuable prognostic factor for predicting biochemical recurrence-free survival and metastasis-free survival in patients with localized high-risk prostate cancer prior to radical prostatectomy.
JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
William Gondoputro, James Thompson, Melanie Evans, Damien Bolton, Mark Frydenberg, Declan G. Murphy, Anne-Maree Haynes, Shikha Agrawal, Phillip Stricker, Nathan Papa
Summary: The study found that age has an impact on postoperative urinary continence after robot-assisted radical prostatectomy. Urinary bother and pad-usage increase with age, but older patients experience less significant bother despite higher pad-usage.
JOURNAL OF UROLOGY
(2022)
Article
Oncology
Benedikt Hoeh, Felix Preisser, Mike Wenzel, Clara Humke, Clarissa Wittler, Jan L. Hohenhorst, Maja Volckmann-Wilde, Jens Koellermann, Thomas Steuber, Markus Graefen, Derya Tilki, Pierre I. Karakiewicz, Andreas Becker, Luis A. Kluth, Felix K. H. Chun, Philipp Mandel
Summary: Urinary loss after catheter removal is strongly correlated with early continence and severity of urinary incontinence in RP treated patients.
Article
Urology & Nephrology
Shogo Inoue, Keisuke Hieda, Testutaro Hayashi, Jun Teishima, Akio Matsubara
Summary: This study aimed to longitudinally analyze the trifecta outcome (continence, potency, and cancer control) of robot-assisted laparoscopic radical prostatectomy. The results showed good continence and biochemical recurrence rates, but poor potency rate.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Endocrinology & Metabolism
Mara Koelker, Muhieddine Labban, Nicola Frego, Jamie Ye, Stuart R. Lipsitz, Harrison Taylor Hubbell, Maria Edelen, Grant Steele, Kevin Salinas, Christian P. Meyer, Jonathan Makanjuola, Caroline M. Moore, Alexander P. Cole, Adam S. Kibel, Quoc-Dien Trinh
Summary: This study aimed to evaluate patient-reported outcome measures (PROMs) among non-Hispanic Black (NHB) and non-Hispanic White (NHW) men after radical prostatectomy. The study found that NHB had worse QoL scores at baseline and 3, 6, and 12 months after surgery, but there was no difference in QoL 24 months after surgery.