Farraj Hamzeh, Alriyalat Sulieman
Department of Special Surgery, Division of Urology, Al-Balqa Applied University, Salt, JOR.
Cureus. 2024 Jan 27;16(1):e53058. doi: 10.7759/cureus.53058. eCollection 2024 Jan.
Prostate cancer ranks as one of the most prevalent cancers among men in the United States, contributing significantly to cancer-related mortality. Robot-assisted radical prostatectomy (RARP) has become a cornerstone in the management of localized prostate cancer. This literature review delves into the outcomes of RARP, specifically its impact on urinary incontinence (UI) compared to other surgical methods. We also present the importance of patient perception versus medical reports. Recent studies and trials have unveiled that postoperative UI and erectile dysfunction (ED) remain common concerns following prostatectomy. However, studies have shown that RARP has lower occurrences of UI and ED compared to radical retropubic prostatectomy (RRP). While the choice of surgical method may not drastically affect these outcomes, the review emphasizes that urinary incontinence extends beyond physical symptoms. It profoundly impacts patients' psychological well-being, social interactions, and overall quality of life. Differences in symptom recording and interpretation between patients and healthcare professionals can significantly influence the diagnosis and treatment of prostate cancer. Enhanced patient-physician communication and patient-centered care are essential to providing a holistic approach to prostate cancer management. The choice of surgical methods may not significantly impact postoperative urinary incontinence and erectile dysfunction. Continued research and advancements in treatment and patient care are crucial for improving outcomes and the overall well-being of prostate cancer patients.
前列腺癌是美国男性中最常见的癌症之一，对癌症相关死亡率有重大影响。机器人辅助根治性前列腺切除术（RARP）已成为局限性前列腺癌治疗的基石。这篇文献综述深入探讨了RARP的治疗结果，特别是与其他手术方法相比，其对尿失禁（UI）的影响。我们还阐述了患者认知与医学报告的重要性。近期的研究和试验表明，前列腺切除术后，尿失禁和勃起功能障碍（ED）仍是常见问题。然而，研究显示，与耻骨后根治性前列腺切除术（RRP）相比，RARP导致尿失禁和ED的发生率更低。虽然手术方法的选择可能不会对这些结果产生巨大影响，但该综述强调，尿失禁不仅仅是身体症状。它对患者的心理健康、社交互动和整体生活质量有深远影响。患者与医护人员在症状记录和解读上的差异会显著影响前列腺癌的诊断和治疗。加强医患沟通和以患者为中心的护理对于提供全面的前列腺癌治疗方法至关重要。手术方法的选择可能不会对术后尿失禁和勃起功能障碍产生显著影响。持续开展治疗和患者护理方面的研究与进步对于改善前列腺癌患者的治疗结果和整体健康状况至关重要。
