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Comprehensive Evaluation of Quality of Life in Penile Cancer Patients following Surgical Treatment.

Authors
  • Jovanović, Darko1
  • Aćimović, Miodrag1, 2
  • Pejčić, Tomislav1, 2
  • Milojević, Bogomir1, 2
  • Čegar, Bojan1, 2
  • Zeković, Milica3
  • Lisičić, Nikola1
  • Džamić, Zoran1, 2
  • Marić, Gorica2
  • 1 Clinic for Urology, University Clinical Center of Serbia, 11000 Belgrade, Serbia. , (Serbia)
  • 2 Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia. , (Serbia)
  • 3 Centre of Research Excellence in Nutrition and Metabolism, Institute for Medical Research, National Institute of Republic of Serbia, University of Belgrade, 11000 Belgrade, Serbia. , (Serbia)
Type
Published Article
Journal
Healthcare (Basel, Switzerland)
Publication Date
Dec 04, 2023
Volume
11
Issue
23
Identifiers
DOI: 10.3390/healthcare11233091
PMID: 38063659
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Penile cancer (PC) is a highly aggressive disease, with a significant tendency for lymphatic spreading and subsequent development of distant metastases. The mutilating nature of PC surgical treatment has profound implications on the patient's body integrity and self-image, sexual life and intimacy, voiding and mental health. The aim of our study was to comprehensively evaluate PC patients' post-treatment quality of life (QoL), sexual activity, self-esteem, fatigue and fear of disease recurrence. (2) Methods: A cross-sectional study was conducted at the Clinic of Urology, University Clinical Centre of Serbia, and included 31 PC patients. Data were collected by means of a questionnaire. (3) Results: The average score on the Global health status scale was 67.2 out of 100 (ranging from 16.7 to 100), and the SD was 22.5. Hierarchical linear regression analysis showed that demographic characteristics, Hospital Anxiety and Depression scale (HADS) anxiety and depression scores, total Multidimensional Fatigue Inventory, Fear of cancer recurrence and Rosenberg scores and erectile function score explained a total of 78.2% of the variance in the global health status/QoL scale of PC patients. (4) Conclusions: Efforts should be made not only to increase the survival of PC patients after surgical treatment but also to enable the best possible level of QoL in the post-operative period.

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