Evidence map›Paper›PMID 40246765›Full record

ArticleInternational urology and nephrology2025

Patient satisfaction and decision regret in patients undergoing radical prostatectomy: a multicenter analysis.

Alessandro Guercio, Riccardo Lombardo, Beatrice Turchi, Matteo Romagnoli, Antonio Franco, Simone D'Annunzio, Ferdinando Fusco, Antonio Luigi Pastore, Yazan Al Salhi, Andrea Fuschi and 11 more

Abstract readMulticenter Study
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In one paragraph

Article in International urology and nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

21 authors.

Alessandro GuercioDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Riccardo LombardoDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy. rlombardo@me.com.
Beatrice TurchiDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Matteo RomagnoliDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Antonio FrancoDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Simone D'AnnunzioDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, Rome, Italy.
Ferdinando FuscoDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Antonio Luigi PastoreDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Yazan Al SalhiDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Andrea FuschiDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Antonio CicioneDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Giorgia TemaDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Antonio NacchiaDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Antonio CarboneDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Giuseppe SimoneDepartment of Urology, IRCCS "Regina Elena" National Cancer Institute, Rome, Italy.
Cristian FioriDepartment of Urology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, Turin, Italy.
Giovanni BusaccaDepartment of Urology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, Turin, Italy.
Francesco PorpigliaDepartment of Urology, Azienda Ospedaliera Universitaria San Luigi Gonzaga, Turin, Italy.
Marcello ScarciaEnte Ecclesiastico Ospedale Regionale F. Miulli, Urology, Rome, Italy.
Andrea TubaroDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.
Cosimo De NunzioDepartment of Urology, Sapienza University of Rome, Via Di Grottarossa, 1035-39, 00189, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

aimProstate cancer (PCa) remains the most common non-cutaneous cancer among men in Europe, with treatment advances improving mortality outcomes. Radical prostatectomy (RP) is a key treatment option for localized PCa, anyway complications such as urinary incontinence and erectile dysfunction can influence patient satisfaction and decision regret. This multicenter study aims to identify factors that can assist urologists in improving preoperative counseling through levels of satisfaction or regret, with the goal of increasing patient awareness regarding the potential risks and complications associated with RP. MATERIALS AND

methodsA prospective analysis was conducted on 590 patients undergoing RP across 4 Italian centers (from 2019 to 2022). Decision regret was assessed using the validated Decision Regret Scale (DRS). The mean score of the five items of the DRS was calculated and then converted to a 100-points scale, with a cutoff score of 25 distinguishing low from high regret. Logistic regression analysis evaluated predictors of treatment regret.

resultsAt a median follow-up of 23 months, 79% of patients reported low decision regret (DRS ≤ 25). Lower decision regret was associated with lower rates of urinary incontinence and erectile dysfunction. Multivariate analysis identified urinary continence (OR 3.8, p < 0.001), erectile function (OR 0.3, p < 0.001), and robotic surgery (OR 3.7, p = 0.009) as significant independent predictors of satisfaction. In addition, poorer quality of life correlated with increased regret.

conclusionOur study emphasizes the importance of evaluating surgical outcomes to predict patient satisfaction, optimizing preoperative counseling, and reducing long-term regret. Urinary and sexual function, and surgical technique influence satisfaction and quality of life. Further research should explore patient-specific predictors and optimize timing for outcome evaluations.

Indexed as

Decision MakingEmotionsPatient SatisfactionProstatectomyProstatic NeoplasmsAgedErectile DysfunctionHumansMaleMiddle AgedProspective StudiesUrinary IncontinencePatient reported outcomesProstate cancerRadical prostatectomyRegret

Identifiers

PMID40246765

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