[Comparison of the quality of life of patients treated by surgery or radiotherapy in epidermoid cancer of the penis].
OBJECTIVE
The purpose of our work is to examine how partially or totally radical surgery and radiotherapy can weigh on quality of life in patients with squamous carcinoma of the penis, considering whether quality of life can be a good criterion in treatment options.


METHODS
We have interviewed 17 patients alive and disease-free (average follow-up 69.43 months) after surgical treatment or radiotherapy for cancer of the penis (emasculation, 2; total amputation of the penis, 2; partial penectomy, 11; radiotherapy, 2). Tests used: General Health Questionnaire (G.H.Q.-12 by D. Goldberg); Hospital Anxiety and Depression Scale (H.A.D.S.); Social Problem Questionnaire (S.P.Q.); Overall Sexual Functioning Questionnaire (O.S.F.Q); Family APGAR Questionnaire (F.A.Q.); Performance Status ECOG.


RESULTS
Thirty-five per cent of the patients presented limitations in their state of health and social problems. Anxiety was evident in 29.5% of the patients and depression in 6%. The global sexual function was compromised in 76.5%.


CONCLUSIONS
The profile of quality of life resulted compromised in the patients who had undergone radical surgical treatment. The sexual function was the most altered component. The impact of the pathology and its treatment on the other domains of quality of life proved less significant.
Ficarra
V
V
Département d'Urologie, Université de Vérone, Italie.
Mofferdin
A
A
D'Amico
A
A
Zanon
G
G
Schiavone
D
D
Malossini
G
G
Mobilio
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D003075:Coitus; D005500:Follow-Up Studies; D006801:Humans; D007989:Libido; D008297:Male; D008875:Middle Aged; D010412:Penile Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D010413:Penis / Q000601:surgery; D011788:Quality of Life / Q000523:psychology; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D013997:Time Factors