Convalescence

Most series reported thus far lack detailed data on convalescence and return to normal activities. In addition, few reports have described the degree and duration of postoperative pain and use of analgesics using validated questionnaires. In a small series from Johns Hopkins, postoperative analgesic requirements and time to complete convalescence after laparoscopic radical prostatectomy were significantly improved compared to open retropubic radical prostatectomy (41). In a prospective study comparing open retropubic radical prostatectomy and laparoscopic radical prostatectomy from Kobe, Japan, quality of life questionnaires were used to measure quality of life differences before and after surgery (8,37). Using the EORTC prostate cancer quality of life questionnaire for general health-related quality of life, the investigators found no significant differences between open retropubic radical prostatectomy and laparoscopic radical prostatectomy (8). Patients receiving laparoscopic radical prostatectomy did, however, express a more favorable attitude towards surgery compared to those receiving open retropubic radical prostatectomy, and significantly more patients undergoing laparoscopic radical prostatectomy would have chosen that therapy again compared to those having open retropubic radical prostatectomy.

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