A critical analysis of the long-term impact of radical prostatectomy on cancer control and function outcomes

Stephen A. Boorjian, James A. Eastham, Markus Graefen, Bertrand Guillonneau, R. Jeffrey Karnes, Judd W. Moul, Edward M. Schaeffer, Christian Stief, Kevin C. Zorn

Research output: Contribution to journalArticlepeer-review

153 Scopus citations

Abstract

Context: The optimal management strategy for men with newly diagnosed clinically localized prostate cancer remains a matter of debate. Numerous series have reported cancer control and quality-of-life (QoL) outcomes following treatment with radical prostatectomy (RP). Objective: Critically review published oncologic and functional outcomes after RP, and evaluate factors associated with these outcome measures. Evidence acquisition: A review of the literature was performed using the Medline and Web of Sciences databases. Relevant reports published between 1980 and 2011 identified using the keywords prostate cancer, radical prostatectomy, prostate-specific antigen, biochemical recurrence, incontinence, and erectile dysfunction were reviewed and summarized. Evidence synthesis: Cancer control rates following RP largely depend on the definition of treatment efficacy. While up to 40% of men have been reported to experience postoperative biochemical recurrence on long-term follow-up, death from prostate cancer has been noted in

Original languageEnglish (US)
Pages (from-to)664-675
Number of pages12
JournalEuropean Urology
Volume61
Issue number4
DOIs
StatePublished - Apr 2012

Keywords

  • Biochemical recurrence
  • Erectile dysfunction
  • Incontinence
  • Prostate cancer
  • Prostate-specific antigen
  • Radical prostatectomy

ASJC Scopus subject areas

  • Urology

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