MP27-19 QUALITY OF LIFE AND FUNCTIONAL RESULTS AFTER ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY (RALP): A PROSPECTIVE POPULATION-BASED SERIES

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Quality of Life1 Apr 2015MP27-19 QUALITY OF LIFE AND FUNCTIONAL RESULTS AFTER ROBOTIC ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY (RALP): A PROSPECTIVE POPULATION-BASED SERIES Lorenzo Tosco, Filip Ameye, Simone Albisinni, Peter Dekuyper, David Jegou, Thierry Quackels, Thierry Roumeguere, Ben Van Cleynenbreugel, Nancy Van Damme, Liesbet Van Eycken, and Steven Joniau Lorenzo ToscoLorenzo Tosco More articles by this author , Filip AmeyeFilip Ameye More articles by this author , Simone AlbisinniSimone Albisinni More articles by this author , Peter DekuyperPeter Dekuyper More articles by this author , David JegouDavid Jegou More articles by this author , Thierry QuackelsThierry Quackels More articles by this author , Thierry RoumeguereThierry Roumeguere More articles by this author , Ben Van CleynenbreugelBen Van Cleynenbreugel More articles by this author , Nancy Van DammeNancy Van Damme More articles by this author , Liesbet Van EyckenLiesbet Van Eycken More articles by this author , and Steven JoniauSteven Joniau More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.1181AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Robotic-assisted laparoscopic radical prostatectomy (RALP) is increasingly being implemented in clinical practice. One of the advantages of this technology is represented by possible functional benefits. To assess quality of life (QoL) and functional results following RALP in a prospective population based series. METHODS Since September 2009, a nationwide prospective RALP registration has been implemented in Belgium. As of July 2014, a total of 6032 consecutive RALP cases were registered in 24 urological centers with a median number of 187 cases (IQR 84-323) per center. Patients completed validated questionnaires at baseline and at regular time intervals post-RALP to assess global health status (EORTC QLQ C30), urinary and sexual function (ICIQ-score), EORTC PR 25 and IIEF score. Descriptive statics were applied to assess functional data. RESULTS Mean age at surgery was 63.1 years (range 34-84). 69.1% (n=4169) of the procedures were performed using a nerve-sparing technique, of which the majority (68.8%) were bilateral. In 70.7%, lymph node dissection was not performed. Postoperative adjuvant treatments followed individual centers' indications. Only 2.8% (n=167) of patients received adjuvant external beam radiotherapy (EBRT) or hormonal therapy within 3 months after surgery. Global health status assessed by EORTC QLQ30 demonstrated an average baseline score of 74.05 (SD 22.03) which decreased to 63.84 (SD 21.59) 1 months post-RALP and returned back to baseline levels (75.89, SD 22.50) after 24 months of follow up. Physical, cognitive, role functioning and social functioning QoL returned back to baseline levels after 24 months. EORTC PR 25 urinary symptoms score: 14.46 at baseline to 12.91 after 24 months with increased need of incontinence aid (2.78 at baseline to 8.65 at 24 months). Sexual activity assessed by EORTC PR 25 showed an average baseline score of 39.69 (SD 26.93) which returned to 32.89 (SD 27.17) after 24 months. Sexual function evolved from an average score of 64.51 (SD 33.11) at baseline to 44.56 (SD 30.30) at 2yr. IIEF-5 score ranged between 17-25 in 42.4% of patients at baseline while only 16.5% returned to IEF-5 score 17-25 after 24 months. CONCLUSIONS Following RALP, QoL measures and global health status returned to baseline levels at 24 months follow-up. Urinary symptoms followed a similar favorable trend, however the need for incontinence aid increased. Sexual activity declined with an even stronger decrease in sexual function scores and IIEF-5 compared to baseline. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e310 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Lorenzo Tosco More articles by this author Filip Ameye More articles by this author Simone Albisinni More articles by this author Peter Dekuyper More articles by this author David Jegou More articles by this author Thierry Quackels More articles by this author Thierry Roumeguere More articles by this author Ben Van Cleynenbreugel More articles by this author Nancy Van Damme More articles by this author Liesbet Van Eycken More articles by this author Steven Joniau More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...