Analysis of Risk Factors for Urinary Incontinence after Radical Prostatectomy

Majoros, Attila; Bach, D.; Keszthelyi, Attila; Hamvas, A.; Mayer, Peter; Riesz, Péter; Seidl, Evelyn; Romics, Imre

doi:10.1159/000099338

Cited by 39 publications

(36 citation statements)

References 44 publications

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“…UVA stricture was found to be a RF for UI after RP by Majoros et al [27], a complication that did not associate with UI in our patients.…”

Section: Discussionsupporting

confidence: 50%

Comprehensive Prediction Model of Urinary Incontinence One Year following Robot-Assisted Radical Prostatectomy

Barnoiu¹,

Lopez²,

Galisteo³

et al. 2012

Urol Int

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Objectives: Urinary incontinence (UI) still remains one of the major functional complications after robot-assisted radical prostatectomy (RARP). As the cause for UI is multifactorial, it is quite difficult to make a prediction preoperatively. Considering intraoperative and postoperative risk factors, besides the preoperative ones, we designed an incontinence prediction model, administered 1 month after the surgery, in order to identify incontinent patients at 1 year. Patients and Methods: We retrospectively reviewed 244 patients who underwent RARP at our institution. Only 209 patients had sufficient data, a 1-year follow-up and were continent preoperatively. The association of UI with the risk factors was assessed by univariable and multivariable regression models. Results: There was a 17.2% global UI rate at 1 year after RARP. Only age-adjusted Charlson comorbidity index, erectile function assessed by International Index of Erectile Function-5, prostate volume, nerve-sparing status and 24-hour urine loss at 1 month correlated with UI (p = 0.032, 0.009, 0.031, 0.018 and <0.001, respectively). The accuracy of the prediction model of UI was 92.8% (c-index), with an area under the curve of 91.9%. Conclusion: Age-adjusted Charlson comorbidity index, International Index of Erectile Function-5, prostate volume, nerve-sparing status and 24-hour urine loss at 1 month after RARP can predict an individual’s risk of UI at 1 year after RARP with good accuracy. Further external validation is required in order to generalize the use of this model.

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“…UVA stricture was found to be a RF for UI after RP by Majoros et al [27], a complication that did not associate with UI in our patients.…”

Section: Discussionsupporting

confidence: 50%

Comprehensive Prediction Model of Urinary Incontinence One Year following Robot-Assisted Radical Prostatectomy

Barnoiu¹,

Lopez²,

Galisteo³

et al. 2012

Urol Int

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“…The formation of a subvesical obstruction due to bacteriuria unfortunately was not investigated [21] . Whether postoperative UTIs are a risk factor for prolonged urinary incontinence is still under debate [22,23] .…”

Section: Discussionmentioning

confidence: 99%

Nosocomial Bacteriuria in Patients with Indwelling Catheter after Radical Retropubic Prostatectomy for Prostate Cancer

Bartsch¹,

Kuefer²,

Braun³

et al. 2008

Urol Int

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Introduction: Patients with prolonged catheter drainage following pelvic surgery are at increased risk for bacteriuria that may have an impact on the clinical course. Materials and Methods: We retrieved all urine analyses from 148 consecutive patients that underwent open retropubic radical prostatectomy at our institution in 2002. The following data were generated: number of bacteriuria with day of onset, used antibiotics, microbiological analysis, resistogram, day of catheter removal and clinical postoperative course. Results: 44.6% of the investigated patients presented with bacteriuria. The highest incidence of bacteriuria was between day 13–15 (40.4%). The most common bacteria detected over the hospital stay were Staphylococcus spp. (24.3%). The most common used antibiotic was trimethoprim/sulfamethoxazole (44.6%). The highest susceptibility was found for levofloxacin (62.4%). No difference in time period of catheter drainage was noticeable in patients with bacteriuria compared to patients without bacteriuria. Conclusions: Bacteriuria is common after radical prostatectomy. To minor the risk of complications related to bacterial infection, the catheter should be removed 7–10 days after surgery. In case of the necessity of longer catheter drainage, an empiric antibiotic therapy seems rational.

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“…The removal of the prostate and surrounding tissues can lead to urinary incontinence. Even in recent series, its prevalence varies from 6% to 20% (1)(2)(3). There are few long term complications which are as inconvenient or annoying as urinary incontinence.…”

Section: Introductionmentioning

confidence: 98%

Parameters of two-dimensional perineal ultrasonography for evaluation of urinary incontinence after Radical Prostatectomy

et al. 2014

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ARTICLE INfO ______________________________________________________________ ______________________Introduction: Urinary incontinence remains a major concern for patients undergoing radical prostatectomy. Its prevalence can reach 20% in the late postoperative period. Materials and Methods:This clinical study investigated the differences of a dynamic evaluation of the urethra and pelvic floor contraction using perineal ultrasound in men without prostate surgery and in men submitted to radical prostatectomy with and without stress urinary incontinence. Ninety two male patients were included, which 70% of them underwent radical prostatectomy (RP) for more than one year. Thirty one men with clinically post prostatectomy incontinence were compared by two-dimensional (2D) perineal ultrasound to 34 patients without post prostatectomy incontinence and to 27 men without surgery in two centers in Brazil. Results: Our results showed that the continent group presented the urethral angle at rest significantly lower than the prostate group (p = 0.0002). We also observed that the incontinent group showed the displacement of the anterior bladder neck during contraction significantly lower than the continent group (p = 0.008). Conclusions:We found that the continent group presented the urethral angle at rest significantly lower than the prostate group. The incontinent group also showed the anterior bladder neck displacement during contraction significantly lower than the continent group. It was more evident when the severe incontinent group and the continent group were compared.

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Analysis of Risk Factors for Urinary Incontinence after Radical Prostatectomy

Cited by 39 publications

References 44 publications

Comprehensive Prediction Model of Urinary Incontinence One Year following Robot-Assisted Radical Prostatectomy

Comprehensive Prediction Model of Urinary Incontinence One Year following Robot-Assisted Radical Prostatectomy

Nosocomial Bacteriuria in Patients with Indwelling Catheter after Radical Retropubic Prostatectomy for Prostate Cancer

Parameters of two-dimensional perineal ultrasonography for evaluation of urinary incontinence after Radical Prostatectomy

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