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67th Annual Meeting Abstracts
Urinary Quality of Life Following Radical Prostatectomy is Positively Impacted by Placement of a Male Sling
*Edward R Houser, II, *Bethany B Barone, Kurt A McCammon
EVMS, Norfolk, VA
Introduction:
The treatment of prostate cancer has well known morbidities which dramatically affect quality of life (QoL). A longitudinal comparison using validated QoL instruments is valuable in evaluating outcomes. We evaluated QoL changes from pre-treatment in patients receiving radical prostatectomy (RP) and subsequent AdVance® sling placement for post-prostatectomy incontinence (PPI).
Methods:
We included 21 patients who underwent both RP and subsequent AdVance® sling placement for PPI. QoL scores were collected prospectively for 36 months following RP using the self-administered UCLA-PCI questionnaire. We compared pre-treatment, post-RP, and post-sling scores for urinary and sexual function/bother. Post-RP/pre-sling and post-sling pad counts were collected retrospectively by chart review.
Results:
21 patients met inclusion criteria. Mean patient age at time of RP was 62. Mean follow-up was 19 months post-RP and 11 months post-sling placement. Significant declines from baseline in both urinary and sexual function (p<0.001) and bother (p<0.001) were found post-RP. Patients did receive significant increases in urinary QoL scores (p<0.001,p<0.002) after treatment with AdVance® sling placement, although not back to pre-treatment levels. Patients demonstrated significant decreases in pad counts after sling placement (p<0.001). Sexual QoL scores were not affected. Pad counts reported at time of follow-up correlated well with post-RP and post-sling urinary function QoL (p<0.001,p<0.005).
Conclusions:
Men undergoing RP have significant declines in urinary and sexual QoL. Their urinary QoL scores improve significantly after AdVance® sling placement, however they do not regain their baseline. Patient reported pad counts at time of follow-up are a surrogate for self-reported urinary function QoL scores.
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