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Quality of Life after Radical Prostatectomy or Watchful Waiting
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Journal Article
Quality of Life after Radical Prostatectomy or Watchful Waiting
2002
Overview
In this companion to the report by Holmberg et al. on survival in a randomized comparison of radical prostatectomy with watchful waiting among men with localized prostate cancer, sexual dysfunction and urinary leakage were more common in the radical-prostatectomy group, but the subjective quality of life in the two groups was similar.
In a comparison of prostatectomy with watchful waiting, the quality of life in the two groups was similar.
A man with newly diagnosed localized prostate cancer faces a frustrating choice of therapy.
1
He can defer treatment until symptoms appear (watchful waiting), undergo major surgery (radical prostatectomy), or receive radiotherapy (interstitial or external) with the intention of eliminating the tumor.
2
,
3
He may also receive hormonal therapy with antiandrogens or undergo castration. His choice may influence survival as well as the risk of therapy-induced acute or chronic symptoms.
4
Between 1989 and 1999, a group of Swedish urologists enrolled men with localized high-grade or moderate-grade prostate cancer in a randomized trial to compare radical prostatectomy with watchful waiting.
5
We examined . . .
Publisher
Massachusetts Medical Society
Subject
/ Biological and medical sciences
/ Erectile Dysfunction - etiology
/ Fecal Incontinence - etiology
/ Humans
/ Intestinal Diseases - etiology
/ Male
/ Nephrology. Urinary tract diseases
/ Prostatic Neoplasms - complications
/ Prostatic Neoplasms - psychology
/ Prostatic Neoplasms - surgery
/ Prostatic Neoplasms - therapy
/ Randomized Controlled Trials as Topic
/ Tumors of the urinary system
/ Urinary Incontinence - etiology
