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BioMed Research International
Volume 2017 (2017), Article ID 9615080, 5 pages
https://doi.org/10.1155/2017/9615080
Research Article

The Long-Term Effect of Radical Prostatectomy on Erectile Function, Urinary Continence, and Lower Urinary Tract Symptoms: A Comparison to Age-Matched Healthy Controls

1Department of Urology, Kaiser-Franz-Josef Spital, Vienna, Austria
2Department of Urology, Medical University of Graz, Graz, Austria
3Kazan Federal University, Kazan, Russia
4Krankenhaus der Barmherzigen Brüder, Department of Urology, Vienna, Austria

Correspondence should be addressed to Badereddin Mohamad Al-Ali

Received 25 August 2016; Accepted 17 January 2017; Published 5 February 2017

Academic Editor: Fabio Grizzi

Copyright © 2017 Badereddin Mohamad Al-Ali et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. To analyze the impact of radical prostatectomy (RPE) on erectile function and lower urinary tract function in comparison to age-matched healthy men. Materials and Methods. Patients who underwent radical retropubic prostatectomy completed questionnaires containing the IIEF-5, the Bristol female LUTS questionnaire, and the International Prostate Symptom Score (IPSS). Results. Patients after RPE were included (). Age-matched healthy men () were included. The mean IIEF-5 of patients aged 61–70 yrs after RPE was versus in the control cohort; the respective values for men aged 71–80 yrs after RPE were versus in the control cohort. Urinary incontinence after RPE was reported in 41.9% (61–70 years) and 37.7% (71–80) versus 7.5% and 15.1% in the control cohort. The mean IPSS of patients after RPE aged 61–70 yrs was versus in the control cohort; the respective values for men aged 71–80 yrs were versus in the healthy cohort. Conclusions. The negative effect of radical prostatectomy on erectile and urinary incontinence remains substantial. The physiologically declining erectile and lower urinary tract function with ageing reduces the difference between healthy men and those after surgery. Healthy men have a higher IPSS presumably due to the presence of bladder outlet obstruction.