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Comparative analysis of short - term functional outcomes and quality of life in a prospective series of brachytherapy and Da Vinci robotic prostatectomy
García-Sánchez, Cristina; Román Martín, Ana A; Conde-Sánchez, J. Manuel; Congregado-Ruíz, C. Belén; Osman-García, Ignacio; Medina-López, Rafael A.
  • García-Sánchez, Cristina; Virgen del Rocío Universitary Hospital. Seville. ES
  • Román Martín, Ana A; Virgen del Rocío Universitary Hospital. Seville. ES
  • Conde-Sánchez, J. Manuel; Virgen del Rocío Universitary Hospital. Seville. ES
  • Congregado-Ruíz, C. Belén; Virgen del Rocío Universitary Hospital. Seville. ES
  • Osman-García, Ignacio; Virgen del Rocío Universitary Hospital. Seville. ES
  • Medina-López, Rafael A; Virgen del Rocío Universitary Hospital. Seville. ES
Int. braz. j. urol ; 43(2): 216-223, Mar.-Apr. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-840817
ABSTRACT
ABSTRACT Introduction There is a growing interest in achieving higher survival rates with the lowest morbidity in localized prostate cancer (PC) treatment. Consequently, minimally invasive techniques such as low-dose rate brachytherapy (BT) and robotic-assisted prostatectomy (RALP) have been developed and improved. Comparative analysis of functional outcomes and quality of life in a prospective series of 51BT and 42Da Vinci prostatectomies DV Materials and Methods Comparative analysis of functional outcomes and quality of life in a prospective series of 93 patients with low-risk localized PC diagnosed in 2011. 51patients underwent low-dose rate BT and the other 42 patients RALP. IIEF to assess erectile function, ICIQ to evaluate continence and SF36 test to quality of life wee employed. Results ICIQ at the first revision shows significant differences which favour the BT group, 79% present with continence or mild incontinence, whereas in the DV group 45% show these positive results. Differences disappear after 6 months, with 45 patients (89%) presenting with continence or mild incontinence in the BT group vs. 30 (71%) in the DV group. 65% of patients are potent in the first revision following BT and 39% following DV. Such differences are not significant and cannot be observed after 6 months. No significant differences were found in the comparative analysis of quality of life. Conclusions ICIQ after surgery shows significant differences in favour of BT, which disappear after 6 months. Both procedures have a serious impact on erectile function, being even greater in the DV group. Differences between groups disappear after 6 months.
Assuntos


Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Prostatectomia / Neoplasias da Próstata / Qualidade de Vida / Braquiterapia / Procedimentos Cirúrgicos Robóticos Tipo de estudo: Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2017 Tipo de documento: Artigo País de afiliação: Espanha Instituição/País de afiliação: Virgen del Rocío Universitary Hospital/ES

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Texto completo: DisponíveL Índice: LILACS (Américas) Assunto principal: Prostatectomia / Neoplasias da Próstata / Qualidade de Vida / Braquiterapia / Procedimentos Cirúrgicos Robóticos Tipo de estudo: Estudo de etiologia / Estudo observacional / Fatores de risco Limite: Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2017 Tipo de documento: Artigo País de afiliação: Espanha Instituição/País de afiliação: Virgen del Rocío Universitary Hospital/ES