Radical Prostatectomy: Sequelae in the Course of Time

TY - JOUR

T1 - Radical Prostatectomy: Sequelae in the Course of Time

AU - Kesch, Claudia

AU - Heidegger, Isabel

AU - Kasivisvanathan, Veeru

AU - Kretschmer, Alexander

AU - Marra, Giancarlo

AU - Preisser, Felix

AU - Tilki, Derya

AU - Tsaur, Igor

AU - Valerio, Massimo

AU - van den Bergh, Roderick C N

AU - Fankhauser, Christian D

AU - Zattoni, Fabio

AU - Gandaglia, Giorgio

N1 - Copyright © 2021 Kesch, Heidegger, Kasivisvanathan, Kretschmer, Marra, Preisser, Tilki, Tsaur, Valerio, van den Bergh, Fankhauser, Zattoni and Gandaglia.

PY - 2021

Y1 - 2021

N2 - Objective: Radical prostatectomy (RP) is a frequent treatment for men suffering from localized prostate cancer (PCa). Whilst offering a high chance for cure, it does not come without a significant impact on health-related quality of life. Herein we review the common adverse effects RP may have over the course of time. Methods: A collaborative narrative review was performed with the identification of the principal studies on the topic. The search was executed by a relevant term search on PubMed from 2010 to February 2021. Results: Rates of major complications in patients undergoing RP are generally low. The main adverse effects are erectile dysfunction varying from 11 to 87% and urinary incontinence varying from 0 to 87% with a peak in functional decline shortly after surgery, and dependent on definitions. Different less frequent side effects also need to be taken into account. The highest rate of recovery is seen within the first year after RP, but even long-term improvements are possible. Nevertheless, for some men these adverse effects are long lasting and different, less frequent side effects also need to be taken into account. Despite many technical advances over the last two decades no surgical approach can be clearly favored when looking at long-term outcome, as surgical volume and experience as well as individual patient characteristics are still the most influential variables. Conclusions: The frequency of erectile function and urinary continence side effects after RP, and the trajectory of recovery, need to be taken into account when counseling patients about their treatment options for prostate cancer.

AB - Objective: Radical prostatectomy (RP) is a frequent treatment for men suffering from localized prostate cancer (PCa). Whilst offering a high chance for cure, it does not come without a significant impact on health-related quality of life. Herein we review the common adverse effects RP may have over the course of time. Methods: A collaborative narrative review was performed with the identification of the principal studies on the topic. The search was executed by a relevant term search on PubMed from 2010 to February 2021. Results: Rates of major complications in patients undergoing RP are generally low. The main adverse effects are erectile dysfunction varying from 11 to 87% and urinary incontinence varying from 0 to 87% with a peak in functional decline shortly after surgery, and dependent on definitions. Different less frequent side effects also need to be taken into account. The highest rate of recovery is seen within the first year after RP, but even long-term improvements are possible. Nevertheless, for some men these adverse effects are long lasting and different, less frequent side effects also need to be taken into account. Despite many technical advances over the last two decades no surgical approach can be clearly favored when looking at long-term outcome, as surgical volume and experience as well as individual patient characteristics are still the most influential variables. Conclusions: The frequency of erectile function and urinary continence side effects after RP, and the trajectory of recovery, need to be taken into account when counseling patients about their treatment options for prostate cancer.

U2 - 10.3389/fsurg.2021.684088

DO - 10.3389/fsurg.2021.684088

M3 - SCORING: Review article

C2 - 34124138

VL - 8

JO - FRONT SURG

JF - FRONT SURG

SN - 2296-875X

M1 - 684088

ER -