You are here

Home » Content

Radikal prostatektomi geçiren erkeklerin yaşadığı güçlükler

Problems encountered by male patients after radical prostatectomy

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Complications (urinary incontinence and erectile dysfunction) developing after retropubic radical prostatectomy, which is the most preferred method in the treatment of prostat cancer significantly affect the quality of life in male patients. The aim of this descriptive study was to determine the problems experienced by and requirements of patients performed radical prostatectomy, and to reveal the requirement for the planned discharge education. Thirty-three patients performed radical prostatectomy at the Department of Urology of Gulhane Military Medical Academy between January 2006 and April 2007 and followed 3 to 12 months after operation constituted the universe of the study. The data were collected by surveys performed via either face-to-face or phone contact. The mean age of the patients was 63.19±7.98 years in our study, and 25% and 30.6% of the patients stated that they did not know they would experience urinary incontinence and erectile dysfunction after the operation, respectively. It was determined that urinary incontinence continued to persist in 81.9% of the patients, 72.7% of these were stress type, and the social life was adversely affected in 70.4% of the patients because of the urinary incontinence. While 88.9% of the patients defined their ability of erection as weak, 54.2% stated that their sexual lives were adversely affected as the result of erectile dysfunction. In conclusion urinary incontinence and erectile dysfunction developing after radical prostatectomy emerge as two significant problems severely affecting the social and sexual lives of the patients that they face problems coping with them.
Bookmark/Search this post with
Abstract (Original Language): 
Prostat kanserinin tedavisinde en sık tercih edilen temel yöntem olan retropubik radikal prostatektomiden sonra gelişen komplikasyonlar (idrar kaçırma ve erektil disfonksiyon), erkeklerin yaşam kalitesini önemli ölçüde etkilemektedir. Tanımlayıcı tipte olan bu çalışmanın amacı, radikal prostatektomi geçiren hastaların yaşadıkları güçlüklerin ve gereksinimlerinin belirlenmesi ve planlı taburculuk eğitimi ihtiyacının ortaya konmasıdır. Araştırmanın örneklemini GATA Üroloji AD’da Ocak 2006 ile Nisan 2007 tarihleri arasında radikal prostatektomi geçiren ve ameliyat tarihinden itibaren 3-12 ay süre geçen 36 hasta oluşturmuştur. Veriler, yüz yüze ve telefonla anket uygulanarak toplanmıştır. Çalışmamızda hastaların yaş ortalaması 63.19±7.98 yıl olup, %25’i bu ameliyat sonrasında idrar kaçırma, %30.6’sı ise erektil disfonksiyon olabileceğini bilmediğini ifade etmişlerdir. Hastaların %81.9’unun idrar kaçırma sorununun devam ettiği, bunların %72.7’sinin stres tip idrar kaçırma olduğu ve %70.4’ünün idrar kaçırmaları nedeniyle sosyal yaşamlarınının çok etkilendiği belirlenmiştir. Hastalardan %88.9’u ereksiyon yeteneğini zayıf olarak tanımlarken, %54.2’si erektil disfonksiyon nedeni ile cinsel yaşamlarının olumsuz etkilendiğini belirtmiştir. Sonuç olarak, radikal prostatektomi sonrası gelişen idrar kaçırma ve erektil disfonksiyon, hastaların sosyal ve cinsel yaşamlarını önemli ölçüde etkileyen ve baş etmekte zorlandıkları iki önemli sorun olarak karşımıza çıkmaktadır.
FULL TEXT (PDF): 
PDF icon arastirmax-radikal-prostatektomi-geciren-erkeklerin-yasadigi-guclukler.pdf
  • 3
180-189
  • Turkish

REFERENCES

References: 

Kaynaklar
1. Floratos DL, Sonke GS, Rapidou CA, et al. Biofeedback
vs verbal feedback as learning tools for pelvic muscle
exercises in the early management of urinary incontinence after radical prostatectomy. BJU Int 2002; 89:
714-719.
2. Giarelli E, McCorkle R, Monturo C. Caring for a spouse
after prostate surgery: the preparedness needs of wives.
J Fam Nurs 2003; 9: 453-485.
3. Erkeklerde En Çok Görülen On Kanser Türü, 1999.
http://www.saglik.gov.tr/TR/BelgeGoster.aspx?F6E10F
8892433CFF71BE64510F6C8BC92747D9FFFE7A1226,
son erişim tarihi: 29.08.07
4. Petry H, Berry DL, Spichiger E, et al. Responses and experiences after radical prostatectomy: perceptions of
married couples in Switzerland. Int J Nurs Stud 2004;
41: 507-513.
5. Tekdoğan ÜY, Atan A. Prostat damar sinir demetinin
anatomisi ve klinik önemi. Androloji Bülteni 2006; 26:
185-188.Cilt 50 • Sayı 3 Radikal prostatektomide yaşanan güçlükler • 189
6. Kumar V, Toussi H, Marr C, Hough C, Javle P. The benefits of radical prostatectomy beyond cancer control in
symptomatic men with prostate cancer. BJU Int 2004;
93: 507-509.
7. Sorrell- Camp D. Radical prostatectomy: what you need
to know. Clin J Oncol Nurs 2005; 9: 378-380.
8. Kocaçal E, Khorsid L. Radikal prostatektomi sonrası
görülen geç dönem komplikasyonların yönetiminde
hemşirenin rolü. Hemşirelik Forumu 2006; 9:14-19.
9. Namiki S, Tochigi T, Kuwahara M, et al. Recovery of
health related quality of life after radical prostatectomy
in Japanese men: a longitudinal study. Int J Urol 2004;
11: 742-749.
10. Peyromaure M, Ravery V, Boccon-Gibod L. The management of stres urinary incontinence after radical
prostatectomy. BJU Int 2002; 90: 155-161.
11. Moinzadeh A, Shunaigat AN, Libertino JA. Urinary incontinence after radical retropubic prostatectomy: the
outcome of a surgical technique. BJU Int 2003; 92:
355-359.
12. Noguchi M, Shimada A, Yahara J, Suekane S, Noda S.
Early catheter removal 3 days after radical retropubic
prostatectomy. Int J Urol 2004; 11: 983-988.
13. Santis WF, Hoffman MA, Dewolf WC. Early catheter removal in 100 consecutive patients undergoing radical
prostatectomy. BJU Int 2000; 85: 1067-1068.
14. Akbal C, Tınay İ, Türkeri L, Şimşek F. Radikal prostatektomi sonrası görülen erektil işlev bozukluğundan
korunma yöntemleri ve erken rehabilitasyonunun
erektil işlev bozukluğuna etkisi. Türk Üroloji Dergisi
2006; 32: 443-452.
15. Davison B, Moore K, Macmillan H, et al. Patient evaluation of a discharge program following a radical prostatectomy. Urol Nurs 2004; 24: 483-489.
16. Moore KN, Griffiths D, Hughton A. Urinary incontinence after radical prostatectomy: a randomized controlled trial comparing pelvic muscle exercises with or
without electrical stimulation. BJU Int 1999; 83: 57-65.
17. Jacobsson L, Hallberg IR, Loven L. Met and unmet nursing care needs in men with prostate cancer. An explorative study. Part II. Eur J Cancer Care 1997; 6: 117-123.
18. Burt J, Caelli K, Moore K, Anderson M. Radical prostatectomy: men’s experiences and postoperative needs. J
Clin Nurs 2005; 14: 883-890.
19. McGlynn B, Al-Saffar N, Begg H, et al. Management of
urinary incontinence following radical prostatectomy.
Urol Nurs 2004; 24: 475-482.
20. Moore KN, Estey A. The early post-operative concerns
of men after radical prostatectomy. J Adv Nurs 1999;
29: 1121-1129.
21. Dowler K. Radical Prostatectomy, http:// www.dalemed.
com/abpdf/cr-foley-6.pdf son erişim tarihi: 18.08.2007.
22. Saito S, Namiki S, Numahata K, et al. Relevance of postcatheter removal incontinence to postoperative urinary
function after radical prostatectomy. Int J Urol 2006;
13: 1191-1196.
23. Sacco E, Prayer-Galetti T, Pinto F, et al. Urinary incontinence after radical prostatectomy: incidence by definition, risk factors and temporal trend in large series with
a long-term follow-up. BJU Int 2006; 97: 1234-1241.
24. Jakobsson L, Hallberg IR, Loven L. Experiences of daily
life and life quality in men with prostate cancer. An
explorative study. Part I. Eur J Cancer Care 1997; 6:
108-116.
25. Namiki S, Tochigi T, Kuwahara M, et al. Health related
quality of life in Japanese men after radical prostatectomy or radiation therapy for localized prostate cancer.
Int J Urol 2004; 11: 619-627.
26. DiMeo PJ. Psychosocial and relationship issues in men
with erectile dysfunction. Urol Nurs 2006; 26: 442-446.
27. Meyer JP, Gillat DA, Lockyer R, Macdonagh R. The effect of erectile dysfunction on the quality of life after
radical prostatectomy. BJU Int 2003; 92: 929-931.
28. Ficarra V, Novara G, Galfano A, et al. Twelve-month selfreported quality of life after retropubic radical prostatectomy: a prospective study with Rand 36-Item Health
Survey (Short Form–36). BJU Int 2005; 97: 274-278.
29. Arai Y, Okubo K, Aoki Y, et al. Patient-reported quality
of life after radical prostatectomy for prostate cancer.
Int J Urol 1999; 6: 78-86.

Thank you for copying data from http://www.arastirmax.com