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Optimal timing to evaluate prediagnostic baseline erectile function in patients undergoing robot-assisted radical prostatectomy

DC Field Value Language
dc.contributor.author마상열-
dc.contributor.author박경기-
dc.contributor.author이승환-
dc.contributor.author정문수-
dc.contributor.author정병하-
dc.date.accessioned2014-12-19T17:16:07Z-
dc.date.available2014-12-19T17:16:07Z-
dc.date.issued2012-
dc.identifier.issn1743-6095-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/91092-
dc.description.abstractINTRODUCTION: Accurate assessment of prediagnostic baseline erectile function (EF) is crucial when evaluating postoperative changes of EF in patients undergoing bilateral nerve sparing robot-assisted laparoscopic radical prostatectomy (RLRP). Because score domains of the International Index of Erectile Function-5 (IIEF-5) can be affected by factors such as recall intervals and psychological stress or discomfort due to cancer diagnosis and treatment, it is important to assess the prediagnostic baseline EF at appropriate times. AIM: To determine optimal timing to evaluate prediagnostic baseline EF in patients undergoing bilateral nerve sparing RLRP. METHODS: Between March 2009 and February 2010, 54 patients ranging in age from 48 to 74 years were asked to complete IIEF-5 questionnaires before prostate biopsy, 1 day before RLRP, and 1 month after RLRP to assess preoperative baseline EF. MAIN OUTCOME MEASURES: Differences in the mean scores of IIEF-5 were analyzed using paired t-tests. The strengths of the linear relationships among the three IIEF-5 scores were quantified using Pearson's correlation coefficient. An interrator agreement analysis in distribution was performed using the kappa statistic to determine the degree of agreement among the IIEF-5 scores. RESULTS: The mean IIEF-5 score before RLRP was significantly higher than the mean IIEF-5 score before prostate biopsy (P < 0.001). There was no significant difference between the mean IIEF-5 scores before prostate biopsy and 1 month following RLRP (P = 0.931). Scores of the IIEF-5 taken before prostate biopsy and 1 month following RLRP showed substantial agreement (kappa = 0.712), whereas scores of the IIEF-5 taken before prostate biopsy and before RLRP showed lower agreement (kappa = 0.325). CONCLUSION: To more accurately assess the prediagnostic baseline EF in patients with localized prostate cancer, the IIEF-5 questionnaire should be administered before prostate biopsy rather than before RLRP as cancer diagnosis-related symptoms and depression can affect IIEF-5 scores.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF SEXUAL MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHBiopsy-
dc.subject.MESHErectile Dysfunction/diagnosis*-
dc.subject.MESHErectile Dysfunction/surgery-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPenile Erection/physiology*-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHPreoperative Period-
dc.subject.MESHProstate/pathology-
dc.subject.MESHProstate/surgery-
dc.subject.MESHProstatectomy/methods*-
dc.subject.MESHProstatic Neoplasms/surgery*-
dc.subject.MESHRobotics*-
dc.subject.MESHSurveys and Questionnaires*-
dc.titleOptimal timing to evaluate prediagnostic baseline erectile function in patients undergoing robot-assisted radical prostatectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Urology (비뇨기과학)-
dc.contributor.googleauthorDong Suk Kim-
dc.contributor.googleauthorYeun Goo Chung-
dc.contributor.googleauthorDong Jun Kim-
dc.contributor.googleauthorKyung Kgi Park-
dc.contributor.googleauthorMun Su Chung-
dc.contributor.googleauthorDae Hoon Lee-
dc.contributor.googleauthorSeung Hwan Lee-
dc.contributor.googleauthorSang Yol Mah-
dc.contributor.googleauthorByung Ha Chung-
dc.identifier.doi10.1111/j.1743-6109.2011.02465.x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA02938-
dc.contributor.localIdA01344-
dc.contributor.localIdA01419-
dc.contributor.localIdA03601-
dc.contributor.localIdA03607-
dc.relation.journalcodeJ01747-
dc.identifier.eissn1743-6109-
dc.identifier.pmid21933350-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1743-6109.2011.02465.x/abstract-
dc.subject.keywordProstatic Neoplasms-
dc.subject.keywordErectile Dysfunction-
dc.subject.keywordQuestionnaires-
dc.subject.keywordIIEF-
dc.contributor.alternativeNameMah, Sang Yol-
dc.contributor.alternativeNamePark, Kyung Kgi-
dc.contributor.alternativeNameLee, Seung Hwan-
dc.contributor.alternativeNameChung, Mun Su-
dc.contributor.alternativeNameChung, Byung Ha-
dc.contributor.affiliatedAuthorLee, Seung Hwan-
dc.contributor.affiliatedAuthorMah, Sang Yol-
dc.contributor.affiliatedAuthorPark, Kyung Kgi-
dc.contributor.affiliatedAuthorChung, Mun Su-
dc.contributor.affiliatedAuthorChung, Byung Ha-
dc.citation.volume9-
dc.citation.number2-
dc.citation.startPage602-
dc.citation.endPage607-
dc.identifier.bibliographicCitationJOURNAL OF SEXUAL MEDICINE, Vol.9(2) : 602-607, 2012-
dc.identifier.rimsid33327-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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