title: Long-term Satisfaction After Open Radical Prostatectomy.
abstract: OBJECTIVE
  To determine the association between baseline factors, post-treatment factors, and long-term satisfaction after radical prostatectomy (RP).
  
  
  METHODS
  Between January 2000 and March 2009, 1425 men who underwent RP by a single surgeon were enrolled in an institutional review board-approved, prospective, longitudinal outcomes study. Baseline characteristics and post-treatment functional and oncologic outcomes were captured through 2013. Patient survey responses from 875 (61.4%) of these men were used to evaluate satisfaction with treatment outcome and treatment decision.
  
  
  RESULTS
  Overall, 88.2% and 91.0% men were satisfied to very satisfied with treatment outcome and treatment decision, respectively. Baseline sexual function was associated with satisfaction with both treatment outcome (adjusted odds ratio [aOR] = 1.40; 95% confidence interval [CI], 1.01-1.93) and treatment decision (aOR = 1.47; 95% CI, 1.08-2.01). Among post-treatment factors, higher University of California, Los Angeles Prostate Cancer Sexual Function (aOR = 2.95; 95% CI, 2.06-4.22), University of California, Los Angeles Prostate Cancer Urinary Function (aOR = 2.38; 95% CI, 1.66-3.40), and lower urinary tract symptom scores (aOR = 1.91; 95% CI, 1.19-3.06) were predictors of satisfaction with outcome. Bother due to incontinence and sexual dysfunction, and perception of cure were independent predictors of both satisfaction with treatment outcome and treatment decision.
  
  
  CONCLUSIONS
  Nearly 90% of men are satisfied with both their treatment outcome and treatment decision after open RP. Improving long-term satisfaction after RP requires efforts to provide realistic expectations and improve functional outcomes.
authors: Department of Urology, New York University School of Medicine, New York, NY.
authors: Ted
authors: T
authors: Lee
authors: Department of Urology, New York University School of Medicine, New York, NY.
authors: Michael
authors: M
authors: Fenstermaker
authors: Medicine Institute, Cleveland Clinic, Cleveland, OH.
authors: Glen B
authors: GB
authors: Taksler
authors: Department of Urology, New York University School of Medicine, New York, NY. Electronic address: Herbert.lepor@nyumc.org.
authors: Herbert
authors: H
authors: Lepor
mesh_terms: D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome