Meta-analysis of rates of erectile function after treatment of localized prostate carcinoma

Robinson, John W; Moritz, Sabine; Fung, Tak

doi:10.1016/s0360-3016(02)03030-4

Cited by 202Prostate Cancer Diagnosis and TreatmentSexual function and dysfunction studiesUrinary Bladder and Prostate Research

Meta-analysis of rates of erectile function after treatment of localized prostate carcinoma

Robinson, John W, Moritz, Sabine, Fung, Tak·2002·International Journal of Radiation Oncology*Biology*Physics

DOI 10.1016/s0360-3016(02)03030-4

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Abstract

Purpose The results of a 1997 meta-analysis of the rates of erectile function after external beam radiotherapy (EBRT) and radical prostatectomy have been widely used in patient and professional education materials and as a reference against which new findings are compared. With a number of recent publications, it is now possible to update this analysis and compare brachytherapy with or without EBRT with EBRT alone, standard and nerve-sparing radical prostatectomy, and cryotherapy.Methods A comprehensive literature review and subsequent meta-analysis of the rates of erectile dysfunction associated with the treatments of localized prostate carcinoma was conducted. A simple logistic regression analysis was used to combine the data from the 54 articles that met the selection criteria.Results The predicted probability of maintaining erectile function after brachytherapy was 0.76, after brachytherapy plus EBRT 0.60, after EBRT 0.55, after nerve-sparing radical prostatectomy 0.34, after standard radical prostatectomy 0.25, and after cryotherapy 0.13. When only studies reporting > or = 2 years follow-up were considered, the only significant change was a decline in the probability for nerve-sparing radical prostatectomy. No brachytherapy studies had a follow-up of > or = 2 years. When the probabilities were adjusted for age, the spread between the RT methods and surgical approaches was greater.Conclusion The differences in the probability of maintaining erectile function after different treatments of localized prostate cancer are significant.

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Authors: Robinson, J. W., Moritz, S., & Fung, T.
Affiliations: University of Calgary (CA)
Corresponding author: Robinson, John W
ORCID: Fung, Tak
Venue: International Journal of Radiation Oncology*Biology*Physics
Publisher: Elsevier BV
Published: 2002-11
Volume: 54
Issue: 4
Pages: 1063-1068
ISSN: 0360-3016 (ISSN-L)
DOI: 10.1016/s0360-3016(02)03030-4
OpenAlex: W2158090738
Cited by: 202
References: 57
Citations by year: 2025: 3 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 5 · 2019: 8 · 2018: 8 · 2017: 11 · 2016: 7 · 2015: 4 · 2014: 10 · 2013: 19 · 2012: 18
FWCI: 2.01
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: International Journal of Radiation Oncology*Biology*Physics (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Diagnosis and Treatment
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Keywords: erectile dysfunction, localized prostate cancer, brachytherapy, external beam radiotherapy, nerve-sparing radical prostatectomy, radical prostatectomy, cryotherapy, erectile function preservation, treatment comparison
MeSH terms: Aged, Brachytherapy, Humans, Erectile Dysfunction, Male, Middle Aged, Penile Erection, Probability, Prostatectomy, Prostatic Neoplasms

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Meta-analysis of rates of erectile function after treatment of localized prostate carcinoma

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