title: [Radical prostatectomy for localized prostate cancer].
abstract: With widespread use of PSA screening, radical prostatectomy has gained popularity among Japanese urologists over the last decade. Recent understanding of pelvic anatomy and improvement in surgical technique have substantially reduced its morbidity. Early recovery of urinary continence is possible and improvement of sexual function after surgery may be enhanced by use of sildenafil and nerve reconstructive surgery. As prostate cancer is increasingly diagnosed at early stages and therefore with more favorable survival outcomes, the basis on which patients select primary therapy has shifted toward considerations of health-related quality of life. Accordingly, QOL assessment has become an important form of outcomes based research that may weigh heavily on the treatment selection by patients.
authors.affiliation: Department of Urology, Tohoku University Graduate School of Medicine.
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Arai
authors.forename: Seiichi
authors.initials: S
authors.lastname: Saito
authors.forename: Shunichi
authors.initials: S
authors.lastname: Namiki
authors.forename: Shigeto
authors.initials: S
authors.lastname: Ishidoya
authors.forename: Makoto
authors.initials: M
authors.lastname: Satoh
mesh_terms: D007172:Erectile Dysfunction / Q000517:prevention & control; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D017063:Outcome Assessment, Health Care; D010413:Penis / Q000294:innervation; D011183:Postoperative Complications / Q000517:prevention & control; D011379:Prognosis; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D011788:Quality of Life; D014549:Urinary Incontinence / Q000517:prevention & control