Prospective comparison of scar-related satisfaction and quality of life after laparoscopic versus open radical prostatectomy: No differences from patients' point of view

摘要

Objectives: To evaluate and compare scar-related satisfaction in patients treated with open (ORP) versus laparoscopic radical prostatectomy (LRP). Patients and method: We prospectively included all patients treated with ORP and LRP in our department between March and June 2010. Scar-related outcomes were collected at 1 and 3 months postoperatively. Three months after surgery, all patients filled up a questionnaire concerning their scar-related symptoms, scar self-consciousness and satisfaction. These variables were statistically compared between the two groups. Results: A total of 101 patients were included for analysis. Of them, 48, 49 and 4 were treated with LRP, ORP and LRP converted to ORP, respectively. Age distribution was not statistically different between groups. Postoperatively, 5 patients experienced skin infection on their scar site, 2 in the ORP and 3 in the LRP group. The most frequently reported symptom was scar itching, that was more frequent after LRP, although difference was not significant (33 vs. 19 %, p = 0. 2). According to patient scar-related consciousness, satisfaction and impact on quality of life, no differences were reported between groups. Impact on quality of life was insignificant in 27 (55 %) versus 21 (44 %) patients after ORP and LRP, respectively (p = 0. 3). Conclusion: With an overall low impact on satisfaction and quality of life, scars gendered by LRP and ORP were not different from patients' point of view. In patients undergoing radical prostatectomy, the cosmetic aspect of scars does not seem to be a concern.