Review Article

Radical Prostatectomy for the Treatment of Moderate to Severe Lower Urinary Tract Symptoms in Organ-Confined Prostate Cancer

Lydia T. Madsen, MSN, RN, AOCNS®, and Geri Lobiondo-Wood, PhD, RN, FAAN

From Departments of Genitourinary Medical Oncology and Nursing, The University of Texas MD Anderson Cancer Center, Houston, Texas

The authors have no conflicts of interest to disclose.

Correspondence to: Lydia T. Madsen, MSN, RN, AOCNS®, The University of Texas MD Anderson Cancer Center, Department of Genitourinary Medical Oncology, PO Box 301439, Unit 1374, Houston, TX 77030-3721. E-mail: lmadsen@mdanderson.org


J Adv Pract Oncol 2011;2:87–98 | DOI: 10.6004/jadpro.2011.2.2.3 | © 2011 Harborside Press®


  

ABSTRACT

A diagnosis of prostate cancer in men who have moderate to severe lower urinary tract symptoms (LUTS) frequently results in a recommendation to undergo radical prostatectomy. The rationale for this recommendation is that removal of the prostate will treat the prostate cancer and eliminate or minimize urinary symptoms, thus improving the patient's quality of life. The aim of this review is to summarize the current literature on men with prostate cancer and moderate to severe LUTS who undergo radical prostatectomy. This review is specific to the postoperative treatment impact on symptoms. We conclude that LUTS is a complex symptoms issue that cannot be answered with a straightforward, single recommendation. Patients require extensive education on treatment outcome risks; advanced practitioners working with this patient population are ideal candidates to provide this intervention. Although postoperative outcomes provide significant hope for resolution or improvement in moderate to severe symptoms of preoperative LUTS, the postoperative risk for urinary incontinence exists.


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