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Original Research

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The effect of the discrepancy between pre- and post-operative staging on decision-making and quality of life in men undergoing a radical prostatectomy

  • Álvaro Martínez-Bordajandi1
  • Ana Patricia Puga-Mendoza2
  • Gonzalo Granero-Heredia3
  • Cayetano Fernández-Sola3,4,*,
  • Tomás Fernández-Aparicio5
  • Iria Dobarrio-Sanz3
  • José Manuel Hernández-Padilla3

1Departament of Anaesthesiology and Surgical Intensive Care, Torrecardenas Universitary Hospital, 04009 Almeria, Spain

2Community Health Centre Retamar, Sanitary District of Almeria, 04131 Almeria, Spain

3Department of Nursing, Physiotherapy and Medicine, University of Almeria, 04120 Almeria, Spain

4Faculty of Health Sciences, Universidad Autónoma de Chile, 7500000 Santiago, Chile

5Department of Urology, Hospital General Universitario Morales Meseguer, 30008 Murcia, Spain

DOI: 10.22514/jomh.2023.059 Vol.19,Issue 7,July 2023 pp.77-85

Submitted: 28 December 2022 Accepted: 22 March 2023

Published: 30 July 2023

*Corresponding Author(s): Cayetano Fernández-Sola E-mail: cfernan@ual.es

Abstract

Prostate cancer is the most prevalent cancer and the second leading cause of oncological mortality in men. Its prognosis is estimated by normograms based on statistical methods. However, it is still a challenge to accurately determine the pathological stage from clinical data. Our aim is to describe and analyze the relationship between sociodemographic, quality-of-life and clinical variables in patients undergoing a radical prostatectomy. A cross-sectional observational study was carried out and included 51 patients undergoing a radical prostatectomy in a general hospital in southeastern Spain. The normality of all variables was studied. A descriptive and association/correlation analysis of the most relevant variables of the study was carried out. In addition, a multivariate analysis was performed to study the intergroup differences between variables with significant correlation. Age was related to a higher occurrence of erectile dysfunction (f = 10.594, p = 0.09) and to a lower percentage of consultations for this reason (x2 = 6.996, p = 0.012). Overweight/obese patients had a more aggressive result on the Gleason score (w = 151.5, p = 0.019). Differences were found between ultrasound and surgical specimen prostate volume (f = 10.324, p = 0.004). There were differences between the Gleason score result obtained from the biopsy and the surgical specimen (f = 23.330, p = 0.00001). Our results suggest that older age could be related to increased erectile dysfunction, that obesity could be related to more aggressive prostate cancer, and that there can be differences in the Gleason score between the biopsy and the final specimen. These findings suggest that the Gleason score results should be interpreted cautiously.


Keywords

Prostate cancer; Prostatectomy; Staging; Gleason score

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Álvaro Martínez-Bordajandi,Ana Patricia Puga-Mendoza,Gonzalo Granero-Heredia,Cayetano Fernández-Sola,Tomás Fernández-Aparicio,Iria Dobarrio-Sanz,José Manuel Hernández-Padilla. The effect of the discrepancy between pre- and post-operative staging on decision-making and quality of life in men undergoing a radical prostatectomy. Journal of Men's Health. 2023. 19(7);77-85.

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