MP64-20 PREOPERATIVE MEMBRANOUS URETHRAL LENGTH IS ASSOCIATED WITH POST-PROSTATECTOMY URINARY FUNCTION IN ASIAN MEN

AbstractWe examined whether men’s distress disclosure would be indirectly associated with psychological distress through feeling understood by others and loneliness as serial or parallel mediators. We conducted path analyses (N = 1827 adult men; mean 37.53 years, SD = 14.14) to test the mediators while controlling for race/ethnicity. Post-hoc multi-group analysis was conducted to examine differences across White and Asian men. The serial mediation model fit the data better than the parallel mediation model. Controlling for race/ethnicity, a significant partial indirect association was found between greater distress disclosure and lower psychological distress through greater feelings of being understood and lower feelings of loneliness. Post-hoc multi-group analysis suggested that the hypothesized paths fit equivalently across White and Asian men, and the direct effect was not significant for Asian men. Our hypothesized serial model also fit the data significantly better than alternative models with distress and the mediators predicting disclosure. Distress disclosure may be a socially conducive strategy for men to feel understood and socially connected, a process that may be associated with lower psychological distress.

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Impact of median lobe on urinary function after robotic prostatectomy

The Prostate ◽

10.1002/pros.24179 ◽

2021 ◽

Author(s):

Oscar Martinez ◽

Christopher Murphy ◽

Aya Bsatee ◽

Ronney Abaza

Keyword(s):

Robotic Prostatectomy ◽

Median Lobe ◽

Urinary Function

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Global Trends of Latent Prostate Cancer in Autopsy Studies

Cancers ◽

10.3390/cancers13020359 ◽

2021 ◽

Vol 13 (2) ◽

pp. 359

Author(s):

Takahiro Kimura ◽

Shun Sato ◽

Hiroyuki Takahashi ◽

Shin Egawa

Keyword(s):

Prostate Cancer ◽

Racial Differences ◽

Specific Antigen ◽

Tumor Location ◽

Cancer Registration ◽

Asian Countries ◽

Global Trends ◽

Psa Screening ◽

Asian Men ◽

Definition Of

The incidence of prostate cancer (PC) has been increasing in Asian countries, where it was previously low. Although the adoption of a Westernized lifestyle is a possible explanation, the incidence is statistically biased due to the increase in prostate-specific antigen (PSA) screening and the accuracy of national cancer registration systems. Studies on latent PC provide less biased information. This review included studies evaluating latent PC in several countries after excluding studies using random or single-section evaluations and those that did not mention section thickness. The findings showed that latent PC prevalence has been stable since 1950 in Western countries, but has increased over time in Asian countries. Latent PC in Asian men has increased in both prevalence and number of high-grade cases. Racial differences between Caucasian and Asian men may explain the tumor location of latent PC. In conclusion, the recent increase in latent PC in Asian men is consistent with an increase in clinical PC. Evidence suggests that this increase is caused not only by the increase in PSA screening, but also by the adoption of a more Westernized lifestyle. Autopsy findings suggest the need to reconsider the definition of clinically insignificant PC.

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