Effects of transurethral resection of prostate on the quality of life of patients with benign prostatic hyperplasia.

Hdl Handle:
http://hdl.handle.net/10147/208961
Title:
Effects of transurethral resection of prostate on the quality of life of patients with benign prostatic hyperplasia.
Authors:
O'Sullivan, MartinJ; Murphy, Colette; Deasy, Conor; Iohom, Gabrielle; Kiely, Eamon A; Shorten, George
Affiliation:
Department of Urology, Cork University Hospital, Cork, Ireland.
Citation:
J Am Coll Surg. 2004 Mar;198(3):394-403.
Journal:
Journal of the American College of Surgeons
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208961
DOI:
10.1016/j.jamcollsurg.2003.10.016
PubMed ID:
14992742
Abstract:
BACKGROUND: This article investigated the effects of transurethral resection of prostate on quality of life (QOL) and urinary symptoms in patients with benign prostatic hyperplasia (BPH). STUDY DESIGN: In a prospective study, 30 patients without significant comorbidities undergoing transurethral resection of prostate for BPH were studied. Patients completed four validated questionnaires: the International Prostate Symptom Score and the associated QOL index because urinary symptoms, the Montgomery and Asberg Depression Rating Scale, the McGill Pain Questionnaire, and the QOL questionnaire Short Form-36. These were completed preoperatively, on the first postoperative day, on discharge from hospital, and at 1 and 3 months postoperatively. RESULTS: The QOL of patients who undergo transurethral resection of prostate for BPH had significantly improved at 3 months after their operation. The International Prostate Symptom Score scores at 1 month (9.3+/-4.6) and 3 months (5.4+/-5.6) were less than they were preoperatively (19.9+/-7.1). The QOL index because urinary symptoms was less at 1 month (2.4+/-1.9) and at 3 months postoperatively (1.5+/-1.4) in comparison with the preoperative scores (4.5+/-1.2). The Montgomery and Asberg Depression Rating Scale scores at 1 month (5.4+/-6.8) and 3 months (4.9+/-6.5) were less than they were preoperatively (9.2+/-8.3). The McGill Pain Questionnaire sensory and pain rating index scores were less at 3 months than they were preoperatively (p=0.02 and p<0.02 respectively). The McGill Pain Questionnaire affective score was less at 1 month than it was preoperatively (p<0.03). The McGill Pain Questionnaire evaluative scores were less than the preoperative score at all times postoperatively. The role physical (p=0.007), bodily pain (p=0.006), social function (p=0.007), and physical component summary (p=0.007) subsections of the Short Form-36 were greater at 3 months postoperatively when compared with the preoperative scores. CONCLUSIONS: Transurethral resection of prostate is associated with significant improvement in the overall QOL, in addition to urinary symptoms, of patients with BPH at 3 months postoperatively. The magnitude and timing of this improvement may serve as a useful comparator in determining the optimal treatment of patients with BPH.
Language:
eng
MeSH:
Aged; Aged, 80 and over; Depressive Disorder/diagnosis/psychology; Follow-Up Studies; Humans; Male; Middle Aged; Pain Measurement; Personality Inventory; Postoperative Complications/diagnosis/psychology; Prospective Studies; Prostatic Hyperplasia/psychology/*surgery; Quality of Life/*psychology; Sickness Impact Profile; Transurethral Resection of Prostate/*psychology; Urination Disorders/diagnosis/psychology
ISSN:
1072-7515 (Print); 1072-7515 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Sullivan, MartinJen_GB
dc.contributor.authorMurphy, Coletteen_GB
dc.contributor.authorDeasy, Conoren_GB
dc.contributor.authorIohom, Gabrielleen_GB
dc.contributor.authorKiely, Eamon Aen_GB
dc.contributor.authorShorten, Georgeen_GB
dc.date.accessioned2012-02-03T15:08:34Z-
dc.date.available2012-02-03T15:08:34Z-
dc.date.issued2012-02-03T15:08:34Z-
dc.identifier.citationJ Am Coll Surg. 2004 Mar;198(3):394-403.en_GB
dc.identifier.issn1072-7515 (Print)en_GB
dc.identifier.issn1072-7515 (Linking)en_GB
dc.identifier.pmid14992742en_GB
dc.identifier.doi10.1016/j.jamcollsurg.2003.10.016en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208961-
dc.description.abstractBACKGROUND: This article investigated the effects of transurethral resection of prostate on quality of life (QOL) and urinary symptoms in patients with benign prostatic hyperplasia (BPH). STUDY DESIGN: In a prospective study, 30 patients without significant comorbidities undergoing transurethral resection of prostate for BPH were studied. Patients completed four validated questionnaires: the International Prostate Symptom Score and the associated QOL index because urinary symptoms, the Montgomery and Asberg Depression Rating Scale, the McGill Pain Questionnaire, and the QOL questionnaire Short Form-36. These were completed preoperatively, on the first postoperative day, on discharge from hospital, and at 1 and 3 months postoperatively. RESULTS: The QOL of patients who undergo transurethral resection of prostate for BPH had significantly improved at 3 months after their operation. The International Prostate Symptom Score scores at 1 month (9.3+/-4.6) and 3 months (5.4+/-5.6) were less than they were preoperatively (19.9+/-7.1). The QOL index because urinary symptoms was less at 1 month (2.4+/-1.9) and at 3 months postoperatively (1.5+/-1.4) in comparison with the preoperative scores (4.5+/-1.2). The Montgomery and Asberg Depression Rating Scale scores at 1 month (5.4+/-6.8) and 3 months (4.9+/-6.5) were less than they were preoperatively (9.2+/-8.3). The McGill Pain Questionnaire sensory and pain rating index scores were less at 3 months than they were preoperatively (p=0.02 and p<0.02 respectively). The McGill Pain Questionnaire affective score was less at 1 month than it was preoperatively (p<0.03). The McGill Pain Questionnaire evaluative scores were less than the preoperative score at all times postoperatively. The role physical (p=0.007), bodily pain (p=0.006), social function (p=0.007), and physical component summary (p=0.007) subsections of the Short Form-36 were greater at 3 months postoperatively when compared with the preoperative scores. CONCLUSIONS: Transurethral resection of prostate is associated with significant improvement in the overall QOL, in addition to urinary symptoms, of patients with BPH at 3 months postoperatively. The magnitude and timing of this improvement may serve as a useful comparator in determining the optimal treatment of patients with BPH.en_GB
dc.language.isoengen_GB
dc.subject.meshAgeden_GB
dc.subject.meshAged, 80 and overen_GB
dc.subject.meshDepressive Disorder/diagnosis/psychologyen_GB
dc.subject.meshFollow-Up Studiesen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshPain Measurementen_GB
dc.subject.meshPersonality Inventoryen_GB
dc.subject.meshPostoperative Complications/diagnosis/psychologyen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshProstatic Hyperplasia/psychology/*surgeryen_GB
dc.subject.meshQuality of Life/*psychologyen_GB
dc.subject.meshSickness Impact Profileen_GB
dc.subject.meshTransurethral Resection of Prostate/*psychologyen_GB
dc.subject.meshUrination Disorders/diagnosis/psychologyen_GB
dc.titleEffects of transurethral resection of prostate on the quality of life of patients with benign prostatic hyperplasia.en_GB
dc.contributor.departmentDepartment of Urology, Cork University Hospital, Cork, Ireland.en_GB
dc.identifier.journalJournal of the American College of Surgeonsen_GB
dc.description.provinceMunster-
All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.