A prospective study of quantification of urinary incontinence and quality of life in patients undergoing radical retropubic prostatectomy

Jønler, Morten; Madsen, Finn A.; Rhodes, Patsy R.; Sall, Mogens; Messing, Edward M.; Bruskewitz, Reginald C.

doi:10.1016/s0090-4295(96)00216-6

Cited by 117 publications

(76 citation statements)

References 11 publications

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“…As continence improves during the months following prostatectomy, quality of life follows a similar course. 110 Similar results have been found for pelvic irradiation. When validating the prostate cancer module of the EORTC QLQ-C30, Borghede 54 used a population of men with localized prostate cancer who had undergone external beam therapy.…”

Section: Localized Prostate Cancersupporting

confidence: 75%

Health-related quality of life in men with prostate cancer

Litwin

Penson

1998

Prostate Cancer Prostatic Dis

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Section: Localized Prostate Cancersupporting

confidence: 75%

Health-related quality of life in men with prostate cancer

Litwin

Penson

1998

Prostate Cancer Prostatic Dis

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“…Both types of urinary incontinence were described by the respondents, which is consistent with what has been documented in the literature and demonstrated urodynamically. 4,6,7 More importantly, patient body habitus did not appear to correlate with the degree of stress urinary incontinence.…”

Section: Discussionmentioning

confidence: 91%

“…16 We do agree that the addition of objective testing could strengthen our findings; however, there can be variability and poor compliance in objective pad testing as well. 7 Jonler et al 7 has shown that after 1-year post-RRP, questionnaire testing can show similar results to pad testing. Even though our data would be strengthened with objective data, it still has strength by itself.…”

Section: Discussionmentioning

confidence: 92%

“…Also, there exists many different types of pads that have different absorptive characteristics, and some patients are poorly compliant to pad testing, especially if they feel they do not need pads. 7 Since there are different treatments for clinically localized prostate cancer, a surgeon must provide information to his/her patients regarding specific aspects of that patient or the patient's cancer that would favor one treatment over another. Body habitus has been used by some surgeons as a factor in deciding which treatment to recommend.…”

Section: Introductionmentioning

confidence: 99%

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Urinary incontinence after radical retropubic prostatectomy is not related to patient body mass index

Mulholland

Huynh

Huang

et al. 2006

Prostate Cancer Prostatic Dis

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To determine if a relationship exists between patient body habitus and urinary incontinence after radical retropubic prostatectomy (RRP) for clinically localized prostate cancer. A questionnaire developed by combining parts of lower urinary tract symptom questionnaires concerning voiding symptoms after RRP was mailed to 268 consecutive patients who underwent RRP over a 2-year period. The interval between surgery and questionnaire administration was greater than 24 months for each patient. No interval was greater than 54 months. The questionnaire attempted to overcome the subjectivity of patient documented urinary incontinence by probing different aspects of each patient's voiding symptoms. Body mass index (BMI), obtained from preoperative anesthesia records, was used as the measurement for body habitus. Pearson correlations were used to determine relationships between BMI and responses and the independent t-test was used to determine differences between grouped responses and BMI. One hundred and eighty-two of 268 (68%) questionnaires were returned. No relationship was detected between BMI and patient estimates of urinary control, QOL relating to urinary symptoms, severity of stress incontinence, or use of protection (pad use). As well, no statistically significant relationship was found between BMI and a patient's willingness to undergo RRP again, based on his voiding symptoms, if given the choice. In conclusion, although patient body habitus may be related to other clinical outcomes following RRP, there does not appear to be a relationship of BMI to post-RRP urinary incontinence.

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“…Jonler et al, using a 24 h pad test, revealed that 63% of patients had some incontinence 6 months after surgery. 30 The present survey was performed using a self-reported questionnaire to exclude observer bias. Of our 32 postoperative patients, urine leakage with coughing or sneezing always occurred in one patient (3%), occurred occasionally/often in four patients (13%), rarely in 12 patients (38%) and never in 15 patients (47%).…”

Section: Discussionmentioning

confidence: 99%

Patient‐reported quality of life after radical prostatectomy for prostate cancer

et al. 1999

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Background: Increasingly, quality of life (QOL) assessments are receiving greater attention in the management of malignancies, including prostate cancer. We evaluated the impact of radical prostatectomy on patient QOL 12 months or longer after surgery. Patients and Methods:We evaluated the impact of radical prostatectomy on QOL in 60 patients with prostate cancer. The patients comprised two groups: the first group (n = 32) was evaluated 12 months or longer after radical prostatectomy; the second group (n = 28) was evaluated while awaiting radical prostatectomy. General health-related QOL was measured with the European Organization for Research and Treatment of Cancer Prostate Cancer QOL Questionnaire. Sexual function was assessed with the Sapporo Medical University Sexual Function Questionnaire. A newly developed instrument assessing urinary function was prepared only for the postoperative group. Results: No differences between the two groups were seen in comparisons of general health-related QOL subscales. Men who underwent surgery reported significant deterioration in sexual function (decreased quality of erection, decreased sexual activity and decreased satisfaction with sex life) than those awaiting surgery. Of the 32 postoperative patients, 26 (81%) did not use pads at all, five (16%) used one or fewer pads per day due to occasional spotting and only one patient (3%) used two to four pads per day to deal with urine dripping. Twenty-six postoperative patients (81%) stated that, given the choice, they would undergo radical prostatectomy again. Conclusions: General health-related QOL does not appear to be compromised following radical prostatectomy. Patients are willing to accept some morbidity for a perceived survival benefit. Although minimal urinary dysfunction was reported, most patients were dissatisfied with postoperative sexual function. In preoperative counselling, greater emphasis should be placed on the risk of postoperative impotence.

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A prospective study of quantification of urinary incontinence and quality of life in patients undergoing radical retropubic prostatectomy

Cited by 117 publications

References 11 publications

Health-related quality of life in men with prostate cancer

Health-related quality of life in men with prostate cancer

Urinary incontinence after radical retropubic prostatectomy is not related to patient body mass index

Patient‐reported quality of life after radical prostatectomy for prostate cancer

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