Age Is Predictive of Immediate Postoperative Urinary Continence after Radical Retropubic Prostatectomy

Abstract

Introduction: Immediate continence is a goal to take into consideration for better patient satisfaction after radical prostatectomy. Factors predicting urinary continence at catheter removal were investigated. Materials and Methods: We evaluated preoperative, operative, clinical, hormonal and pathological variables in a homogeneous series of radical retropubic prostatectomies (RRPs) following the principles of urinary sphincter restoration technique. Results: The study included 201 patients who underwent RRP. The overall immediate continence rate at catheter removal was 67.7% (136 patients); 28.8% (58 patients) were using one protective pad daily and 3.5% (7 patients) were incontinent. At 6-month follow-up incontinence had reached the lowest level of 2.5% (5 patients) and at 12 months the patients using one pad daily had decreased to 11.9% (24 patients). Multivariate logistic analysis showed that the only two factors independently associated with immediate continence were age <65 years (OR = 2.63, 95% CI 1.13-5.88, p = 0.02) and potency (OR = 3.6, 95% CI 1.2-10.7, p = 0.01) adjusting for D'Amico risk group, surgical margins, extracapsular extension, clinical stage, PSA, testosterone, LH and FSH. No significant association was noted for PSA, hormonal levels, hospital stay, prostate size, clinical stage, risk group, TNM stage, pathological Gleason score or extracapsular extension. Conclusions: In our series age <65 years was associated with immediate continence after RRP. Moreover, patients who were immediately continent had a 3.6-fold probability to be potent within 12 months.

Perioperative predictors for post-prostatectomy urinary incontinence in prostate cancer patients following robotic-assisted radical prostatectomy: Long-term results of a Canadian prospective cohort

“…On the other hand, other studies showed that aging was not associated with delayed continence recovery. 23 In our study, the majority of patient were young, with a mean age of 60 years, and narrowly distributed with an interquartile range of 56-66 years. Therefore, age was not found to be an independent predictor.…”

Outcomes of Male Sling Mesh Kit Placement in Patients with Neuropathic Stress Urinary Incontinence: A Single Institution Experience

“…In addition, patients with NB tend to be younger, thereby increasing the likelihood of multiple revisions over the life of the AUS. At the same time, AUS is reported to have good and immediate continence rates in younger PPI patients [7] .…”

Early Continence and Extravasation After Open Retropubic Radical Prostatectomy – Interrupted vs Continuous Suturing for Vesicourethral Anastomosis

“…Higher PSA levels, a higher age and a longer hospitalization period were seen in the RS group and may be related to the unfavourable outcome regarding early continence. This is confirmed in the publication of Campodonico et al 29 Recovery of urinary incontinence should be considered as a process that extends well beyond the hospital stay. While there is little data on early incontinence, the literature allows a clearer assessment of the urinary continence situation of patients in the course of time after RP: the majority of patients are continent three months after surgery.…”