Demonstration of erectile management techniques to men scheduled for radical prostatectomy reduces long-term regret: a comparative cohort study

Janette Kinsella; Peter Acher; Anna Ashfield; Kathryn Chatterton; Prokar Dasgupta; Declan Cahill; Rick Popert; Tim O'Brien

doi:10.1111/j.1464-410X.2011.10237.x

Demonstration of erectile management techniques to men scheduled for radical prostatectomy reduces long-term regret: a comparative cohort study

Janette Kinsella^*, Peter Acher, Anna Ashfield, Kathryn Chatterton, Prokar Dasgupta, Declan Cahill, Rick Popert, Tim O'Brien

^*Corresponding author for this work

GSTT Guy's and St Thomas' NHS Foundation Trust

Research output: Contribution to journal › Article › peer-review

12 Citations (Scopus)

Abstract

OBJECTIVE

To determine whether preoperative demonstrations of intracavernosal and vacuum therapies for erectile dysfunction (ED) influence the decision of treatment choice, reducing long-term regret.

PATIENTS AND METHODS

In all, 82 consecutive men with localized prostate cancer, scheduled for radical prostatectomy and reporting an International Index of Erectile Function score of >21, were prospectively enrolled at a single cancer centre.

Following standard preoperative counselling, half of the men were invited to attend a further consultation for intracavernosal and vacuum therapy demonstrations.

All patients were evaluated pretreatment and then 3 monthly using the five-point International Index of Erectile Function score and the 14-item Hospital Anxiety and Depression scale.

At 12 months treatment choice changes were recorded and patients were assessed for treatment choice regret using Clark's validated two-item regret questionnaire. Statistical analysis was performed using the Mann-Whitney and Fisher's exact tests. Results were compared with a control population of 41 men who did not undergo additional ED counselling.

RESULTS

In all, 8/41 men (19%) changed their treatment choice, opting for brachytherapy rather than radical prostatectomy.

Only 1/41 in the control population changed their decision before surgery.

At 1 year, one patient (2%) in the intervention group expressed regret at his treatment choice (radical prostatectomy) compared with eight (20%) in the control group (P = 0.03, two-sided Fisher's exact test); ED was identified as the major cause of this regret.

CONCLUSION

Preoperative demonstrations of ED therapies can optimize decision making in prostate cancer and help reduce long-term regret.

Original language	English
Pages (from-to)	254-258
Number of pages	5
Journal	BJU International
Volume	109
Issue number	2
DOIs	https://doi.org/10.1111/j.1464-410X.2011.10237.x
Publication status	Published - Jan 2012

Keywords

prostate cancer
erectile dysfunction
five-item International Index of Erectile Function score
regret
intracavernosal therapy
vacuum therapy
QUALITY-OF-LIFE
CANCER
DECISION

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/j.1464-410X.2011.10237.x

Cite this

@article{da165cf4db1d493cad3059d68db009d0,

title = "Demonstration of erectile management techniques to men scheduled for radical prostatectomy reduces long-term regret: a comparative cohort study",

abstract = "OBJECTIVETo determine whether preoperative demonstrations of intracavernosal and vacuum therapies for erectile dysfunction (ED) influence the decision of treatment choice, reducing long-term regret.PATIENTS AND METHODSIn all, 82 consecutive men with localized prostate cancer, scheduled for radical prostatectomy and reporting an International Index of Erectile Function score of >21, were prospectively enrolled at a single cancer centre.Following standard preoperative counselling, half of the men were invited to attend a further consultation for intracavernosal and vacuum therapy demonstrations.All patients were evaluated pretreatment and then 3 monthly using the five-point International Index of Erectile Function score and the 14-item Hospital Anxiety and Depression scale.At 12 months treatment choice changes were recorded and patients were assessed for treatment choice regret using Clark's validated two-item regret questionnaire. Statistical analysis was performed using the Mann-Whitney and Fisher's exact tests. Results were compared with a control population of 41 men who did not undergo additional ED counselling.RESULTSIn all, 8/41 men (19%) changed their treatment choice, opting for brachytherapy rather than radical prostatectomy.Only 1/41 in the control population changed their decision before surgery.At 1 year, one patient (2%) in the intervention group expressed regret at his treatment choice (radical prostatectomy) compared with eight (20%) in the control group (P = 0.03, two-sided Fisher's exact test); ED was identified as the major cause of this regret.CONCLUSIONPreoperative demonstrations of ED therapies can optimize decision making in prostate cancer and help reduce long-term regret.",

keywords = "prostate cancer, erectile dysfunction, five-item International Index of Erectile Function score, regret, intracavernosal therapy, vacuum therapy, QUALITY-OF-LIFE, CANCER, DECISION",

author = "Janette Kinsella and Peter Acher and Anna Ashfield and Kathryn Chatterton and Prokar Dasgupta and Declan Cahill and Rick Popert and Tim O'Brien",

year = "2012",

month = jan,

doi = "10.1111/j.1464-410X.2011.10237.x",

language = "English",

volume = "109",

pages = "254--258",

journal = "BJU International",

issn = "1464-4096",

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T1 - Demonstration of erectile management techniques to men scheduled for radical prostatectomy reduces long-term regret

T2 - a comparative cohort study

AU - Kinsella, Janette

AU - Acher, Peter

AU - Ashfield, Anna

AU - Chatterton, Kathryn

AU - Dasgupta, Prokar

AU - Cahill, Declan

AU - Popert, Rick

AU - O'Brien , Tim

PY - 2012/1

Y1 - 2012/1

N2 - OBJECTIVETo determine whether preoperative demonstrations of intracavernosal and vacuum therapies for erectile dysfunction (ED) influence the decision of treatment choice, reducing long-term regret.PATIENTS AND METHODSIn all, 82 consecutive men with localized prostate cancer, scheduled for radical prostatectomy and reporting an International Index of Erectile Function score of >21, were prospectively enrolled at a single cancer centre.Following standard preoperative counselling, half of the men were invited to attend a further consultation for intracavernosal and vacuum therapy demonstrations.All patients were evaluated pretreatment and then 3 monthly using the five-point International Index of Erectile Function score and the 14-item Hospital Anxiety and Depression scale.At 12 months treatment choice changes were recorded and patients were assessed for treatment choice regret using Clark's validated two-item regret questionnaire. Statistical analysis was performed using the Mann-Whitney and Fisher's exact tests. Results were compared with a control population of 41 men who did not undergo additional ED counselling.RESULTSIn all, 8/41 men (19%) changed their treatment choice, opting for brachytherapy rather than radical prostatectomy.Only 1/41 in the control population changed their decision before surgery.At 1 year, one patient (2%) in the intervention group expressed regret at his treatment choice (radical prostatectomy) compared with eight (20%) in the control group (P = 0.03, two-sided Fisher's exact test); ED was identified as the major cause of this regret.CONCLUSIONPreoperative demonstrations of ED therapies can optimize decision making in prostate cancer and help reduce long-term regret.

AB - OBJECTIVETo determine whether preoperative demonstrations of intracavernosal and vacuum therapies for erectile dysfunction (ED) influence the decision of treatment choice, reducing long-term regret.PATIENTS AND METHODSIn all, 82 consecutive men with localized prostate cancer, scheduled for radical prostatectomy and reporting an International Index of Erectile Function score of >21, were prospectively enrolled at a single cancer centre.Following standard preoperative counselling, half of the men were invited to attend a further consultation for intracavernosal and vacuum therapy demonstrations.All patients were evaluated pretreatment and then 3 monthly using the five-point International Index of Erectile Function score and the 14-item Hospital Anxiety and Depression scale.At 12 months treatment choice changes were recorded and patients were assessed for treatment choice regret using Clark's validated two-item regret questionnaire. Statistical analysis was performed using the Mann-Whitney and Fisher's exact tests. Results were compared with a control population of 41 men who did not undergo additional ED counselling.RESULTSIn all, 8/41 men (19%) changed their treatment choice, opting for brachytherapy rather than radical prostatectomy.Only 1/41 in the control population changed their decision before surgery.At 1 year, one patient (2%) in the intervention group expressed regret at his treatment choice (radical prostatectomy) compared with eight (20%) in the control group (P = 0.03, two-sided Fisher's exact test); ED was identified as the major cause of this regret.CONCLUSIONPreoperative demonstrations of ED therapies can optimize decision making in prostate cancer and help reduce long-term regret.

KW - prostate cancer

KW - erectile dysfunction

KW - five-item International Index of Erectile Function score

KW - regret

KW - intracavernosal therapy

KW - vacuum therapy

KW - QUALITY-OF-LIFE

KW - CANCER

KW - DECISION

U2 - 10.1111/j.1464-410X.2011.10237.x

DO - 10.1111/j.1464-410X.2011.10237.x

M3 - Article

SN - 1464-4096

VL - 109

SP - 254

EP - 258

JO - BJU International

JF - BJU International

IS - 2

ER -

Demonstration of erectile management techniques to men scheduled for radical prostatectomy reduces long-term regret: a comparative cohort study

Abstract

Keywords

UN SDGs

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