Article - Comment

Quality of life, sexual function and decisional regret at 1 year after surgical treatment for localized prostate cancer

  • Recep Büyükalpelli

Bull Urooncol 2007;6(3):36-40

Objective: To examine the effect of changes in quality of life (QoL) and levels of sexual function on decisinal regret after surgical treatment of localized prostate cancer Patinets and Methods Patients who decided to have a radical prostatectomy (RP) were assessed for health-related QoL using the general European Organization for Research and Treatment of Cancer C30 instrument and disease- specific prostate cancer module and sexual function using the abbreviated International Index of Erectile Function-5 before and 1 year after RP, and decisional regret 1 year afterward, using measures mailed to participants 1 year after treatment. Results: Of 130 respondents (mean age 62 years), 4% expressed regret over their decision to have surgery. Physical and social functioning, and finances, were compromised, while emotional functioning and treatment-related symptoms improved by 1 year. Higher levels of decisional regret were correlated with decreases in role and social functioning, increased pain and financial difficulty (P Conclusions: Few men regretted having RP at 1 year after treatment, even though some QoL functions and domains were significantly affected. Ongoing assessment of the effect of surgical treatment on sexual function, sexuality and masculinity certainly deserves further exploration with this group of cancer survivors.