title: Study of generic quality of life in patients operated on for post-prostatectomy incontinence.
abstract: BACKGROUND
  The relationship between urological and psychosocial variables, and generic quality of life in patients operated on for post-prostatectomy incontinence has hardly been studied, and our aim was to investigate this relationship.
  
  
  METHODS
  Patients who had an artificial urinary sphincter AMS800 (n = 100) implanted between January 2002 and June 2010 were invited to complete a mailed questionnaire covering demographic data including work ability, urinary and sexual function, anxiety/depression, and generic quality of life. Poor quality of life was defined as a score <40 on either the physical or the mental Short Form 12 summary scales.
  
  
  RESULTS
  Of 85 compliant patients, 30 (35%) reported poor generic quality of life and 55 (65%) reported better quality of life at a median follow-up time of 26 months (range 6-104 months). The poor quality of life group showed significantly more overall urinary and sexual problems, and more men had undergone surgical revisions compared with the better quality of life group. Levels of anxiety and depression were significantly higher, and work ability was lower in the poor quality of life group. In multivariate logistic regression models, increased level of depression and impaired work ability, inability to reach orgasm, and not recommending the operation remained significantly associated with poor quality of life.
  
  
  CONCLUSIONS
  Poor generic quality of life after surgery for post-prostatectomy incontinence is more strongly associated with reduced work ability and depression rather than urinary and sexual problems.
authors: Department of Oncology, Oslo University Hospital Radiumhospitalet, Oslo, Norway. hveiby@ous-hf.no
authors: Henriette Veiby
authors: HV
authors: Holm
authors: Sophie D
authors: SD
authors: Fosså
authors: Hans
authors: H
authors: Hedlund
authors: Alv A
authors: AA
authors: Dahl
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology; D003863:Depression / Q000523:psychology; D004651:Employment / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000523:psychology / Q000601:surgery; D019919:Prosthesis Implantation; D011788:Quality of Life; D019529:Sexuality / Q000523:psychology; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000209:etiology / Q000523:psychology* / Q000601:surgery*; D016741:Urinary Sphincter, Artificial / Q000523:psychology
keywords: AMS800; artificial urinary sphincter; post-prostatectomy urinary incontinence; quality of life; radical prostatectomy