Summary: | Prostate cancer is the most prevalent cancer and the second leading cause of
oncological mortality in men. Its prognosis is estimated by normograms based on
statistical methods. However, it is still a challenge to accurately determine the
pathological stage from clinical data. Our aim is to describe and analyze the
relationship between sociodemographic, quality-of-life and clinical variables in
patients undergoing a radical prostatectomy. A cross-sectional observational
study was carried out and included 51 patients undergoing a radical prostatectomy
in a general hospital in southeastern Spain. The normality of all variables was
studied. A descriptive and association/correlation analysis of the most relevant
variables of the study was carried out. In addition, a multivariate analysis was
performed to study the intergroup differences between variables with significant
correlation. Age was related to a higher occurrence of erectile dysfunction (f =
10.594, p = 0.09) and to a lower percentage of consultations for this
reason (x2 = 6.996, p = 0.012). Overweight/obese patients had a
more aggressive result on the Gleason score (w = 151.5, p = 0.019).
Differences were found between ultrasound and surgical specimen prostate volume
(f = 10.324, p = 0.004). There were differences between the Gleason
score result obtained from the biopsy and the surgical specimen (f = 23.330,
p = 0.00001). Our results suggest that older age could be related to
increased erectile dysfunction, that obesity could be related to more aggressive
prostate cancer, and that there can be differences in the Gleason score between
the biopsy and the final specimen. These findings suggest that the Gleason score
results should be interpreted cautiously.
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