Roman Sosnowski1, Jan Karol Wolski2, Marta Kulpa3, Urszula Ziętalewicz4, Mariola Kosowicz5, Tomasz Kalinowski6, Tomasz Demkow7. 1. Department of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5, 02-928 Warsaw, Poland. Electronic address: roman.sosnowski@gmail.com. 2. Department of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5, 02-928 Warsaw, Poland. Electronic address: jkwolski@op.pl. 3. Department of Psycho-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5, 02-928 Warsaw, Poland; Department of Medical Psychology Medical University of Warsaw, Żwirki i Wigury 81, Warsaw, Poland. Electronic address: mkulpa@wum.edu.pl. 4. Department of Psychology, Division of Health Psychology and Rehabilitation, University of Warsaw, Stawki 5/7, 00-183 Warsaw, Poland. Electronic address: ula.zietalewicz@gmail.com. 5. Department of Psycho-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5, 02-928 Warsaw, Poland. Electronic address: mar.psychoonkologia@interia.pl. 6. Department of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5, 02-928 Warsaw, Poland. Electronic address: kalin68@o2.pl. 7. Department of Uro-oncology, M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Roentgena 5, 02-928 Warsaw, Poland. Electronic address: demkow@coi.waw.pl.
Abstract
PURPOSE: Health-related quality of life (HRQoL) evaluations are being increasingly used for clinical assessment of cancer treatment outcomes. For a patient, not only is life expectancy important, but also a general sense of sustained global health. Intuitively, the more disfiguring the treatment, the more pronounced could be the deterioration in the QoL. We aimed to compare various aspects of QoL in three groups of patients surgically treated for penile cancer by local excision, partial penectomy, or total penectomy. METHODS: HRQoL was assessed in 51 patients surgically treated for penile cancer. Total penectomy, partial penectomy, or wide local excision was performed in 11, 27, and 13 patients, respectively. The EORTC QLQ-C30 questionnaire was used for HRQoL assessment. Relations between the patients and their partners were also assessed. RESULTS: Statistically significant negative correlation was found between aggressiveness of the surgical procedure and both, assessment of global health status (p = 0.04) and physical functioning (p = 0.047). The more aggressive the surgery, the lower was the patients' assessment of their QoL. Among the patients who maintained their partner relations postsurgery, 58.9% declared that their relations postoperatively were not inferior compared to those preoperatively. There was no statistically significant effect of the surgery type on relations with female partners (p = 0.619). CONCLUSION: The magnitude of disfigurement caused by surgical treatment of penile cancer had a significant impact on the selected QoL domains assessed by the EORTC QLQ C-30 questionnaire. There was no correlation between the scope of surgical intervention and partner relations.
PURPOSE: Health-related quality of life (HRQoL) evaluations are being increasingly used for clinical assessment of cancer treatment outcomes. For a patient, not only is life expectancy important, but also a general sense of sustained global health. Intuitively, the more disfiguring the treatment, the more pronounced could be the deterioration in the QoL. We aimed to compare various aspects of QoL in three groups of patients surgically treated for penile cancer by local excision, partial penectomy, or total penectomy. METHODS: HRQoL was assessed in 51 patients surgically treated for penile cancer. Total penectomy, partial penectomy, or wide local excision was performed in 11, 27, and 13 patients, respectively. The EORTC QLQ-C30 questionnaire was used for HRQoL assessment. Relations between the patients and their partners were also assessed. RESULTS: Statistically significant negative correlation was found between aggressiveness of the surgical procedure and both, assessment of global health status (p = 0.04) and physical functioning (p = 0.047). The more aggressive the surgery, the lower was the patients' assessment of their QoL. Among the patients who maintained their partner relations postsurgery, 58.9% declared that their relations postoperatively were not inferior compared to those preoperatively. There was no statistically significant effect of the surgery type on relations with female partners (p = 0.619). CONCLUSION: The magnitude of disfigurement caused by surgical treatment of penile cancer had a significant impact on the selected QoL domains assessed by the EORTC QLQ C-30 questionnaire. There was no correlation between the scope of surgical intervention and partner relations.
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