Urinary incontinence after radical prostatectomy – experience of the last 100 cases

Abstract

Radical prostatectomy (RP) is a recognized treatment method of organ-confined prostate cancer. Among post-surgery complications, urinary incontinence is a major one. The aim of this study was to determine the incontinence rate after RP and to analyze factors that might affect it. Between March 2007 and December 2008, 132 RP's were performed at Warsaw Cancer Center. A questionnaire to assess the condition before and after RP was developed by the authors and sent to all treated patients. The questionnaire focused on health status information, function in urinary domain, rate of returning to “normal” activity level as before RP and satisfaction from the treatment. The median age of patients was 62 years. Out of 132 patients 102 subjects (77.2%) responded to the questionnaire. Of all responders, 35 patients (34.3%) reported total urinary continence after RP. After RP 35(34.3%) patients reported total urinary continence and in 55(53.9%) patients urinary incontinence of medium degree was present. In 12 (11.8%) patients significant urinary incontinence developed. The most common cause of urine dripping (82% of patients with any degree of urinary incontinence) was associated with abdominal muscle pressure. No statistically significant association between urinary incontinence and adjuvant radiotherapy after RP or the surgeon performing the RP was found (>0.79, >0.803). Radical prostatectomy carries a certain risk of complications. We observed an 88.2% rate of significant (total and moderate degree) urinary continence. The adjuvant radiotherapy and surgeons, who performed the RP, did not affect the rate of incontinence.

Laparoscopic radical prostatectomy training for residents: Hospital Universitario La Paz model

“…We have defined continence as the absence of pad use. The initial experience of staff surgeons over 175 cases showed a severe incontinence rate of 16.8% and for residents of 14.6% over 82 cases, similar to other publications about this topic [17]. We know that the functional results in the residents group will rapidly improve with more experience until it reaches a continence result of more than 90%, because the procedure that they actually learn is the result of the evolution of our technique through the years, along with the fact that the procedure residents learn nowadays is a completely refined surgical procedure.…”

A review of prospective Clinical Trials for neurogenic bladder: The place of surgery, experimental techniques and devices

“…The option for the Medical Subject Heading (MESH) vocabulary was based on the idea of standardization of terminology and reporting, supported by the International Continence Society (ICS) and many other scientific organizations [3]. …”

“…To achieve our goal of reviewing as many relevant papers as possible we performed searches on both PubMed and OVID databases, using the same search string: Urinary Bladder, neurogenic [MESH]. The option for the Medical Subject Heading (MESH) vocabulary was based on the idea of standardization of terminology and reporting, supported by the International Continence Society (ICS) and many other scientific organizations [ 3 ].…”

In incontinence developing after radical prostatectomy the role of nurses on implementing behavioral therapy

“…Radical prostatectomy (RP) which is in the treatment of localized prostate cancer in organs, is exceeding life expectancy of 10 years and accepted as gold standard treatment (Sosnowski et al 2011). Urinary incontinence is a surgical complications after RP.…”