Evidence map›Paper›PMID 33851360›Full record

Trial reportInternational urology and nephrology2021

Satisfaction and genital perception after orchiectomy for prostate cancer: does the technique matter? A randomized trial.

Onkar Singh, Partho Mukherjee, M S Sakthivel, Cornerstone Wann, A J P George, Rajesh Gopalakrishnan, Belavendra Antonisamy, Antony Devasia, Santosh Kumar, Nitin S Kekre and 1 more

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Onkar SinghDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India. dronkarsingh@gmail.com.ORCID http://orcid.org/0000-0003-3949-6966
Partho MukherjeeDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
M S SakthivelDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
Cornerstone WannDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
A J P GeorgeDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
Rajesh GopalakrishnanDepartment of Psychiatry, Christian Medical College, Bagayam Campus, Vellore, 632004, Tamil Nadu, India.
Belavendra AntonisamyDepartment of Biostatistics, Christian Medical College, Bagayam Campus, Vellore, 632004, Tamil Nadu, India.
Antony DevasiaDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
Santosh KumarDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
Nitin S KekreDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
J ChandrasinghDepartment of Urology, Christian Medical College and Hospital, Vellore, Tamil Nadu, 632004, India.
Christian Medical College, Vellore · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBilateral extracapsular or total orchiectomy (BEO) for prostate cancer is presumed to have psychological consequences after the surgery due to perception of an empty scrotum. Bilateral subcapsular orchiectomy (BSO) was designed to preserve perception of palpable testes. We compared the patients' satisfaction and genital perception following BEO and BSO. MATERIALS AND

methodsProstate cancer patients eligible for androgen deprivation therapy who opted for orchiectomy were enrolled in prospective randomized study. Patients with bleeding disorder or uncorrected coagulopathy, poor performance score, and psychiatric problems were excluded. Outlook to life and own health in-general, overall satisfaction to the procedure and genital perception was evaluated using modified Fugl-Meyer questionnaire (FMQ) which was administered before and after 3 months of the surgery. Patients were randomized to BEO and BSO groups at the time of surgery using block randomization. Primary outcome was to compare the genital perception of testicular loss and patients' satisfaction to BSO and BEO. Secondary outcomes included testosterone and PSA control, operative time, and complications.

resultsTotal 35 patients were enrolled in each group which was comparable. There was no difference in PSA control at 3 months. Mean operative time and blood loss were significantly lesser in BEO group. FMQ score at 3 months did not show significant difference. Majority of the patients in both groups were satisfied with procedure and the aesthetic value of scrotum after surgery. However, 84% in BSO group did not feel that testes were removed on self-examination, as compared to 28% in BEO group. Majority patients in both groups did not report physical or psychological discomfort from change in scrotal content.

conclusionsResults showed that patients' satisfaction and genital perception following BSO and BEO were similar. Feeling of remaining intrascrotal contents after BSO did not had added psychological advantage in terms of perception of genitalia.

Indexed as

Patient SatisfactionPerceptual DisordersScrotumHumansMaleOrchiectomyPostoperative ComplicationsProspective StudiesProstatic NeoplasmsSelf ReportAndrogen deprivation therapyGenital perceptionOrchiectomyProstate cancerQuality of life

Identifiers

PMID33851360
OpenAlexW3156150156

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.