Multicenter Patient Self-Reporting Questionnaire on Impotence, Incontinence and Stricture After Radical Prostatectomy

Abstract

Although radical prostatectomy morbidity is common and affects self-reported overall quality of life, most patients would elect the same treatment again. Impotence and post-prostatectomy incontinence were significantly associated with sexual function satisfaction, quality of life and willingness to undergo treatment again. Bladder neck contracture and/or urethral stricture was associated with willingness to undergo treatment again after adjusting for demographic variables and time from surgery to the survey.

Management of bladder neck stenosis and urethral stricture and stenosis following treatment for prostate cancer

“…Reported rates in the literature range from 2.2% to 20.5% (5-7) subsequent to open radical prostatectomy (ORP), with contemporary data in the open cohorts reporting rates post-radical retropubic prostatectomy of 2.5–5.5% (8,9) and post-radical perineal prostatectomy of 3.8% (9). The laparoscopic and robotic cohorts report much lower rates of 0.2–3% (10-13).…”

“…Surgical predictors include previous transurethral resection of prostate (TURP), open surgery, prostate specific antigen (PSA) recurrence, intraoperative blood loss, operative time, post-operative urinary leak and post-operative retention (7,31). Certainly, the reported rates of urethral stenosis are significantly lower in the robotic or laparoscopic cohort, which would suggest that technique has a significant effect (33).…”

Factors affecting urethral stricture development after radical retropubic prostatectomy

“…Anastomotic stricture (AS) after radical prostatectomy occurs in 1.3-27% of patients, and there are varying degrees of association of anastomotic stricture and stress urinary incontinence (SUI) [2,3]. Risk factors include low surgeon volume, increased blood loss, age, obesity, current smoking and urinary extravasation [4].…”

Contemporary surgical devices for male stress urinary incontinence: a review of technological advances in current continence surgery

“…While the incidence of female SUI far outnumbers that of the opposite sex, male SUI is increasingly becoming a common condition especially following radical prostatectomy and can occur in upwards of 60% of men in the first few months following surgery (2). With an increase in prostate cancer awareness with PSA testing and widespread adoption of robotic-assisted radical prostatectomy as a minimally invasive surgery, it is likely that more men diagnosed with prostate cancer will undergo surgical intervention resulting in higher incidence of post-prostatectomy urinary incontinence (PPI).…”