Clinical Edge

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Prostatectomy Patients Report Sexual Dysfunction, Incontinence

Key clinical point: Prostatectomy was significantly associated with worse incontinence and sexual function over 5 years, but not with decreased bowel or hormonal function.

Major finding: Men with favorable risk prostate cancer reported an average difference of -10.9 in measures of worse urinary incontinence over 5 years after prostatectomy, compared with active surveillance; unfavorable risk patients averaged a difference of -23.2.

Study details: The data come from a prospective, population-based study of 1,386 men with favorable risk prostate cancer and 619 men with unfavorable risk prostate cancer.

Disclosures: The researchers had no financial conflicts to disclose.


Hoffman KE et al. JAMA. 2020;323:149-63. doi:10.1001/jama.2019.20675.