Divisions of Psychology and Behavioral Sciences, City of Hope, Duarte, CA, USA.
J Psychosoc Oncol. 2011;29(2):157-67. doi: 10.1080/07347332.2010.548669.
In this prospective, longitudinal study the authors examined changes in cognitive, emotional, and interpersonal components of prostate cancer-related quality of life in 71 men who underwent robotic-assisted prostatectomy for prostate cancer. They identified significant changes across several quality-of-life domains from presurgery to 3-months and 1-year postsurgery. Although some components of quality of life returned to baseline by one year postsurgery, decrements in sexual intimacy, sexual confidence, and masculine self-esteem were enduring. These data can be used to guide patients in their expectations for quality of life following robotic prostatectomy and highlight the need for multidisciplinary approaches aimed at improving men's sexual adjustment after this procedure.
在这项前瞻性纵向研究中，作者研究了 71 名接受机器人辅助前列腺切除术治疗前列腺癌的男性患者在认知、情感和人际关系方面的前列腺癌相关生活质量的变化。他们发现，从术前到术后 3 个月和 1 年，几个生活质量领域的情况都发生了显著变化。尽管一些生活质量指标在术后 1 年恢复到基线水平，但性亲密、性自信和男性自尊的下降是持久的。这些数据可用于指导患者对机器人前列腺切除术治疗后的生活质量的期望，并强调需要采取多学科方法来改善男性在手术后的性调整。
