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The following is a summary of “Longitudinal changes in factors affecting postoperative patient satisfaction after robot-assisted radical prostatectomy: an assessment using a patient-reported questionnaire,” published in the January 2025 issue of Urology by Ogawa et al. 

Long-term survival is possible in patients with localized prostate cancer (PCa). However, few studies explore the factors influencing treatment satisfaction after robot-assisted radical prostatectomy (RARP). 

Researchers conducted a retrospective study to examine factors associated with treatment satisfaction in patients undergoing RARP.  

They enrolled 408 out of 612 consecutive patients who underwent RARP and divided them into satisfied and non-satisfied groups at each evaluation timepoint. Multivariate logistic regression analysis was performed to identify factors affecting postoperative treatment satisfaction between the 2 groups. 

The results showed that factors influencing treatment satisfaction changed over time. At 1-month, urinary bother (UB) (OR = 1.023, P = 0.008) and sexual function (SF) (OR = 0.941, P = 0.004) were significant. At 3 months, urinary bother (OR = 1.040, P = 0.001) and sexual bother (OR = 1.019, P < 0.001) were significant. At 6 months, urinary function (OR = 1.027, P = 0.008), urinary bother (OR = 1.035, P = 0.011), sexual bother (OR = 1.013, P = 0.009), and hormonal bother (OR = 1.065, P = 0.023) were significant. At 9 months, urinary function (OR = 1.026, P = 0.008), urinary bother (OR = 1.030, P = 0.029), and sexual bother (OR = 1.014, P = 0.004) were significant. At 12 months, urinary function (OR = 1.024, P = 0.002) was significant. 

Investigators found that treatment satisfaction changed over time. Providing sufficient information before treatment improved patient decision-making and quality of life. 

Source: bmcurol.biomedcentral.com/articles/10.1186/s12894-025-01696-9