Impact of urinary incontinence on the quality of life of individuals undergoing radical prostatectomy

Bernardes, Mariana Ferreira Vaz Gontijo; Chagas, Sabrina de Cássia; Izidoro, Lívia Cristina de Resende; Veloso, Denny Fabrício Magalhães; Chianca, Tânia Couto Machado; Mata, Luciana Regina Ferreira da

doi:10.1590/1518-8345.2757.3131

Cited by 35 publications

(40 citation statements)

References 16 publications

(35 reference statements)

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“…We found significant associations between urinary dysfunction and QoL. This is in accordance with previous studies showing impairment of QoL in patients with both urgency and incontinence [13,24,25]. This underlines the importance of diagnosing urinary dysfunction at the postoperative follow‐up, referral for relevant treatment and, hereby, improving QoL.…”

Section: Discussionsupporting

confidence: 91%

Urinary dysfunction after colorectal cancer treatment and impact on quality of life—a national cross‐sectional study in males

et al. 2021

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Aim Despite advances in the treatment of colorectal cancer, postoperative urogenital dysfunction is still a problem although its exact extent remains unclear. The aim of this study was to identify the prevalence and patterns of urinary dysfunction in men following treatment for colorectal cancer and the impact of urinary dysfunction on quality of life. Method A retrospective national Danish cross‐sectional study was performed in patients treated for colorectal cancer between 2001 and 2014. Patients answered questionnaires on urinary function and quality of life including the International Consultation on Incontinence Modular Questionnaire—Male Lower Urinary Tract Symptoms measuring voiding and incontinence. Results were analysed based on data on demographics and treatment‐related factors obtained from the Danish Colorectal Cancer Group database. Results A total of 5710 patients responded to the questionnaire (response rate 52.8%). In both crude analysis and after adjusting for patient‐related factors (age, time since surgery and American Society of Anesthesiologists score), both voiding (P < 0.0001) and incontinence scores (P < 0.0001) were significantly higher after rectal cancer than after colon cancer. In the rectal cancer group, abdominoperineal excision was found to be a significant risk factor for both voiding (P < 0.0001) and incontinence (P = 0.011), while radiotherapy only impaired continence (P = 0.014). Significant correlations between high voiding and incontinence scores and impaired quality of life were found in both groups. Conclusion We found a high prevalence of urinary dysfunction following treatment for colorectal cancer, especially in the rectal cancer group. Abdominoperineal excision was the most significant risk factor for both voiding and incontinence. Urinary dysfunction significantly impairs patients' quality of life.

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Section: Discussionsupporting

confidence: 91%

Urinary dysfunction after colorectal cancer treatment and impact on quality of life—a national cross‐sectional study in males

et al. 2021

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“…Most are treated solely on the basis of having LT, while less common indications for treatment include fatigue, erectile dysfunction, depression, and psychosexual dysfunction 19 . The impact of using T to treat some of these symptoms may be limited, 20 compared to urinary incontinence, which profoundly affects men's quality of life, imposing new physical and social limitations 21 . While it remains unclear whether testosterone replacement therapy could avert cuff erosion, it is theoretically possible that men with LT and AUS could derive meaningful benefit from T supplementation.…”

Section: Discussionmentioning

confidence: 99%

Most men with artificial urinary sphincter cuff erosion have low serum testosterone levels

Wolfe

Ortiz

Baumgarten

et al. 2021

Neurourology and Urodynamics

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Aims: To evaluate the relationship between serum testosterone (T) levels and artificial urinary sphincter (AUS) cuff erosion in a population of incontinent men who underwent AUS placement.Methods: A retrospective analysis of our single-surgeon AUS database was performed to identify men with T levels within 24 months of AUS placement.Men were stratified into two groups based on serum testosterone: low serum testosterone (LT) (<280 ng/dl) and normal serum testosterone (NT) (>280 ng/dl).Multivariable analysis was performed to control for risk factors. The outcome of interest was the incidence of and time to spontaneous urethral cuff erosion; other risk factors for cuff erosion were also evaluated.Results: Among 161 AUS patients with serum testosterone levels, 84 (52.2%) had LT (mean: 136.8 ng/dl, SD: 150.4 ng/dl) and 77 (47.8%) had NT (mean: 455.8 ng/dl, SD: 197.3 ng/dl). Cuff erosion was identified in 42 men (26.1%) at a median of 7.1 months postoperatively (interquartile range: 3.6-13.4 months), most of whom (30/42, 71.4%) were testosterone deficient. LT levels were less common (54/119, 45.4%) in the non-erosion cohort (p = 0.004). Men with low T were nearly three times as likely to suffer AUS erosion than men with normal T (odds ratio = 2.519, p = 0.021). LT level was the only factor associated with AUS erosion on multivariable analysis. Conclusions:LT is an independent risk factor for AUS cuff erosion. Men with LT are more likely to present with cuff erosion, but there is no difference in time to erosion.

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“…Urinary incontinence (UI) is a common condition worldwide, generating an important burden for people and societies, added to the uneasiness and embarrassment that it entails, which in turn reduces the quality of life of patients affected by any kind of UI [ 4 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Remeex® System Effectiveness in Male Patients with Stress Urinary Incontinence

Márquez-Sánchez

Padilla-Fernández

Perán-Teruel³

et al. 2021

JCM

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Background: When conservative management fails, patients with stress urinary incontinence (SUI) are considered for surgical treatment. Simpler, more economical and less invasive surgical techniques, such as the Remeex® system, have been developed. Objectives: To analyze the objective effectiveness of the Remeex® system in the treatment of male stress urinary incontinence. To study survival and complication rates of the Remeex® system in male SUI patients. Materials and methods: Prospective observational study between July 2015 and May 2020. Group A (n = 7; GA) patients with mild SUI. Group B (n = 22; GB) patients with moderate SUI. Group C (n = 18; GC) patients with severe SUI. Effectiveness was assessed by the number of patients achieving complete and partial dryness. Complete dryness was defined as patients using 0–1 safety pads per day; partial dryness as a >50% reduction in the number of pads used. Results were analyzed using descriptive statistics, Student’s t-test. Chi2, Fisher’s exact test, ANOVA, and multivariate analysis. Significance was set at p < 0.05. Results: Mean age 69.76 years, mean follow-up 33.52 months. Objective effectiveness was observed in 89.36% of patients with incontinence. The effectiveness was 85.71% in GA, 90.91% in GB and 88.89% in GC. There were no significant differences among groups (p = 1.0000). 34.04% of patients with an implant required at least one readjustment, while 66.00% did not require any. There were no significant differences among groups (p = 0.113) Chi2 = 4.352. 95.74% of implants remained in place by the end of follow-up. We observed complications in 17.02% of patients. Conclusions: Remeex® system is an effective and safe method for male stress urinary incontinence treatment, regardless of the severity of the incontinence, with high survival and low complication and removal rates. System readjustments are required in one-third of the cases.

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Impact of urinary incontinence on the quality of life of individuals undergoing radical prostatectomy

Cited by 35 publications

References 16 publications

Urinary dysfunction after colorectal cancer treatment and impact on quality of life—a national cross‐sectional study in males

Urinary dysfunction after colorectal cancer treatment and impact on quality of life—a national cross‐sectional study in males

Most men with artificial urinary sphincter cuff erosion have low serum testosterone levels

Remeex® System Effectiveness in Male Patients with Stress Urinary Incontinence

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