Urinary Incontinence, Patient Satisfaction, and Decisional Regret after Prostate Cancer Treatment: A French National Study

Abdullah Albkri 1 David Girier 1 Alain Mestre 1 Pierre Costa 1 Stéphane Droupy 1, 2 Armand Chevrot 1
1 CHRU Nîmes - Centre Hospitalier Régional Universitaire de Nîmes
2 UM - Université de Montpellier
Abstract : BACKGROUND: Complications of prostate cancer treatments have a substantial impact on the patient's quality of life. We evaluated the prevalence of urinary consequences and factors affecting patient satisfaction and decisional regret after treatment. METHODS: A retrospective self-administered questionnaire was sent to all members of the National Association of Prostate Cancer Patients in France. RESULTS: From the 226 completed questionnaires received, the following information was obtained: 110 patients underwent surgery only, 29 received radiotherapy plus hormone therapy, 28 received radiotherapy only, and 49 received other combination treatments. The median follow-up period was 58.1 months. After treatment, the presence of urinary incontinence was reported by 34.5% of patients treated by radical prostatectomy, by 10.3% treated by radiotherapy plus hormone therapy, by 17.8% treated by curitherapy or radiotherapy only, and by 38.7% treated by other combination therapy (p~= 0.01). The main reasons for decisional regret were the fact that patients received incomplete information about prostate cancer (40%) and consequences of treatment that affected the urinary system (34%). The information received about cancer was considered complete in 32.3% of the satisfied group and 14.3% of the decisional regret group (p~= 0.003) and with regard to urinary incontinence the information received was considered complete in 41.4 and 17.4% respectively (p~\textless 0.01). CONCLUSIONS: Urinary consequences of prostate cancer treatment are common and impact the quality of life. Patients need clear information to be able to participate in therapeutic decision-making and to avoid subsequent decisional regret.
Keywords : Aged Middle Aged 80 and over Emotions Complications Patient Satisfaction Prostatectomy Postoperative Complications France Self Report Quality of life Prostate cancer Prostatic Neoplasms Decision Making Humans Male Prevalence Retrospective Studies Functional outcomes Radical prostatectomy Urinary Incontinence Urinary~incontinence
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https://hal.umontpellier.fr/hal-02365966
Contributeur : Pascale Roussel <>
Soumis le : vendredi 15 novembre 2019 - 16:00:45
Dernière modification le : vendredi 15 novembre 2019 - 16:02:02

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Abdullah Albkri, David Girier, Alain Mestre, Pierre Costa, Stéphane Droupy, et al.. Urinary Incontinence, Patient Satisfaction, and Decisional Regret after Prostate Cancer Treatment: A French National Study. Urologia Internationalis, Karger, 2018, 100 (1), pp.50--56. ⟨10.1159/000484616⟩. ⟨hal-02365966⟩

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