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Title: Comparative analysis of short - term functional outcomes and quality of life in a prospective series of brachytherapy and Da Vinci robotic prostatectomy.
Authors: García-Sánchez, Cristina
Martín, Ana A Román
Conde-Sánchez, J Manuel
Congregado-Ruíz, C Belén
Osman-García, Ignacio
Medina-López, Rafael A
Keywords: Prostatectomy;Quality of Life;Robotic Surgical Procedures
metadata.dc.subject.mesh: Brachytherapy
Dose-Response Relationship, Radiation
Erectile Dysfunction
Middle Aged
Postoperative Complications
Prospective Studies
Prostatic Neoplasms
Quality of Life
Robotic Surgical Procedures
Severity of Illness Index
Surveys and Questionnaires
Time Factors
Treatment Outcome
Urinary Incontinence
Issue Date: 2017
Abstract: 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. 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. 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.
metadata.dc.identifier.doi: 10.1590/S1677-5538.IBJU.2016.0098
Appears in Collections:Producción 2020

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