Navigation Links
Many Men Underestimate Prostate Surgery Side Effects
Date:8/13/2011

By Randy Dotinga
HealthDay Reporter

FRIDAY, Aug. 12 (HealthDay News) -- New research finds that men who undergo prostate removal often suffer more from incontinence and impotence than they expected, even when counseled beforehand about possible aftereffects.

The findings suggest there's a wide gap between what men with prostate cancer expect post-surgery and what actually happens -- and that many are shocked by the level of dysfunction after the operation.

After the surgeries, "we find that men are very disappointed and very sad. It's as if they really didn't hear what was being told to them," said study lead author Daniela Wittmann, a sexual health coordinator at the University of Michigan's prostate cancer survivorship program.

Removal of the prostate, a treatment for prostate cancer, is especially common among younger men, while older men often turn to radiation, said Dr. Stephen Freedland, an associate professor of urology and pathology at Duke University in Durham, N.C. The procedure can lead to urinary incontinence, sometimes to the point where men need to wear padding, as well as difficulty attaining and maintaining an erection.

Prostate cancer is also sometimes treated with hormonal therapy, which can also lead to impotence and other serious side effects, or by "watchful waiting," which means having regular exams while doctors keep an eye on the tumor to see if it grows or spreads. The latter is usually recommended when physicians feel someone's age will allow them to outlive the generally slow-moving cancer.

The study appears in the August issue of the Journal of Urology.

The problem is that the prostate is located right next to the urinary sphincter and nerves that contribute to erections, Freedland said. The operation to remove the prostate can disrupt those other parts of the body.

Competition among doctors may cause them to downplay the risks, Freedland said. "If one doctor says, 'Look, almost everybody I operate on leaks a little bit,' and the guy next door says, 'None of my patients leak,' one of them is telling the truth and the other isn't."

Compassion can be another factor preventing physicians from telling the entire story about risks. And patients themselves may be overly hopeful due to human nature, he said. "You're going to always have a mismatch between realities and expectations."

The new study tries to measure that gap. A total of 152 men undergoing radical prostatectomy (prostate removal) took part in the study. They received counseling about the surgery and were questioned before the operation and a year later.

The counselors talked to the patients for about 20 to 45 minutes with a focus on side effects, said study lead author Wittmann. That's more time than patients typically get with a urologist, she said.

A year after the surgery, 46 percent reported that urinary incontinence was worse than expected, while 44 percent said the same about sexual function. Most of the rest said their experiences in those areas were what they expected.

The researchers concluded that patients had "unrealistic expectations" despite the extensive counseling about side effects. They also discovered that a minority of the men (12 to 17 percent) expected to have better bladder control and improved erections after the surgery, which is the opposite of what usually occurs. Many more had thought that their bladder and sexual functioning post-surgery would at least remain the same, they noted.

Wittmann said the researchers plan to test another approach -- two-hour seminars for the patients and their partners about side effects, including tips men can use to try to alleviate them. "It includes the kinds of things that men can do to help themselves afterward," she said. "It's not just information on what you can expect, but what you can do."

More information

For more about prostate cancer, see the U.S. National Library of Medicine.

SOURCES: Daniela Wittmann, M.S.W, sexual health coordinator, University of Michigan, Ann Arbor; Stephen Freedland, M.D., associate professor, urology and pathology, Duke University, Durham, N.C.; August 2011, Journal of Urology


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Radiation rates for breast cancer may be underestimated, U-M study finds
2. Many Obese Moms and Kids Underestimate Their Weight
3. Mayo researchers find mortality rates from liver diseases underestimated
4. New treatment option for advanced prostate cancer
5. BIDMC scientists receive Challenge Awards from Prostate Cancer Foundation
6. Men have overly optimistic expectations about recovery from prostate cancer surgery, U-M study finds
7. Urine Test Might Help Predict Prostate Cancer Risk
8. What comes after prostate cancer
9. UT Southwestern scientists discover new pathway to potential therapies for advanced prostate cancer
10. For Some Prostate Cancer Patients, Combo Treatment Improves Survival
11. 7 in 1 blow: Scientists discover DNA regions influencing prostate cancer risk
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Many Men Underestimate Prostate Surgery Side Effects
(Date:6/25/2016)... ... ... The temporary closing of Bruton Memorial Library on June 21 due to a possible lice ... overlooked aspect of head lice: the parasite’s ability to live away from a human host, ... a necessary one in the event that lice have simply gotten out of control. , ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as ... City area —Johnson is one of the first doctors to perform the treatment. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Those who have experienced traumatic events may suffer ... unhealthy avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid ... healthy coping following a traumatic event. , Trauma sufferers tend to feel a range ...
(Date:6/24/2016)... Fla. (PRWEB) , ... June 24, 2016 , ... Global ... Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition ... Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this year’s ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing skills ... patients and their families pay tribute to a genetic counselor by nominating him or ... Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome magazine ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research and ... Global Market - Forecast to 2022" report to their ... treatment method for the patients with kidney failure, it replaces ... fluid from the patient,s blood and thus the treatment helps ... and chloride in balance. Increasing number of ...
(Date:6/23/2016)... 2016  In a startling report released today, National Safety ... lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... how states are tackling the worst drug crisis in recorded U.S. ... Kentucky , New Mexico , ... Of the 28 failing states, three – Michigan ...
(Date:6/23/2016)... ANGELES , June 23, 2016 ... CAPR ), a biotechnology company focused ... therapeutics, today announced that patient enrollment in its ... in Duchenne) has exceeded 50% of its 24-patient ... enrollment in the third quarter of 2016, and ...
Breaking Medicine Technology: