Urinary incontinence after radical retropubic prostatectomy is not related to patient body mass index

Mulholland, Tim L.; Huynh, Phuong N.; Huang, Ray R.; Wong, Carson; Diokno, Ananias C.; Peters, Kenneth M.

doi:10.1038/sj.pcan.4500860

Cited by 18 publications

(9 citation statements)

References 17 publications

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“…Mulholland et al [28] studied the effect of BMI on urinary incontinence after RP by sending questionnaires related to voiding function to 268 consecutive patients over a 2-year period. Based on the 182 responses, they did not find an association with urinary function and BMI; however, this study had limited number of subjects and relied on correlation between degree of leakage and BMI.…”

Section: Demographic Risk Factorsmentioning

confidence: 99%

Factors Predicting Early Return of Continence After Radical Prostatectomy

Sandhu

Eastham

2010

Curr Urol Rep

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Success of radical prostatectomy is measured by control of cancer and return of urinary and sexual function. Urinary incontinence is generally considered the greatest impairment in immediate postoperative urinary function. Multiple factors are associated with earlier return of urinary continence after radical prostatectomy. These factors can be divided into those known prior to surgery, and therefore possibly not modifiable, and factors that can be controlled during surgery or surgical planning. In addition, various postoperative maneuvers can help hasten urinary continence. This article examines the effect of known factors related to early return of urinary continence after radical prostatectomy.

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Section: Demographic Risk Factorsmentioning

confidence: 99%

Factors Predicting Early Return of Continence After Radical Prostatectomy

Sandhu

Eastham

2010

Curr Urol Rep

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“…In the present study, obese men suffered more frequently from post-RRP urinary incontinence in comparison to nonobese men (25.8 vs. 8.7%, p = 0.009). Only four reports investigated the impact of obesity and postoperative incontinence [9][10][11][12] ( table 4 ). In contrast with the present study, most of these studies reported no association between obesity and incontinence.…”

Section: Discussionmentioning

confidence: 99%

Impact of Obesity on Surgical Outcomes following Open Radical Prostatectomy

Roermund

Basten²,

Kiemeney³

et al. 2009

Urol Int

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Objective: The increasing incidence of both obesity and prostate cancer (PCa) detection will confront the urologist more often with obese men having PCa. It is unknown whether obesity affects the surgical and oncological outcomes following open radical retropubic prostatectomy (RRP). Knowledge concerning this issue is relevant when counselling obese patients with PCa for RRP. Patients and Methods: A single institution cohort study was performed including 252 men who underwent a RRP between 1992 and 2003. The surgical complications (perioperative complications, post-RRP urinary incontinence, urethral strictures) were compared between obese (BMI >30) and nonobese (BMI ≤30) men. Results: Compared to nonobese (n = 221), obese men (n = 31) developed more frequently wound infections (16.1 vs. 4.5%; p < 0.05), urinary incontinence (25.8 vs. 8.7%; p < 0.05) as well as vesico-urethral strictures (46.2 vs. 12.3%; p < 0.05). The pathology results and the 5-year cumulative risk of PSA recurrence were comparable among both groups. Conclusions: Compared to nonobese, obese men suffer more frequently from post-RRP urinary incontinence and vesicourethral strictures following open RRP.

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“…While several observational studies have shown no association of physical activity or obesity with urinary function in prostate cancer survivors,10,16-18 other research has demonstrated that overweight men are more likely to report poor postoperative urinary function. 19-21 To our knowledge no studies have considered the joint effects of obesity and physical inactivity on postoperative outcomes in prostate cancer survivors.…”

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confidence: 97%

Risk of Urinary Incontinence Following Prostatectomy: The Role of Physical Activity and Obesity

et al. 2010

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Purpose Urinary incontinence is one of the most commonly reported and distressing side effects of radical prostatectomy for prostate carcinoma. Several studies have suggested that symptoms may be worse in obese men but to our knowledge no research has addressed the joint effects of obesity and a sedentary lifestyle. We evaluated the association of obesity and lack of physical activity with urinary incontinence in a sample of men who had undergone radical prostatectomy. Materials and Methods Height and weight were abstracted from charts, and obesity was defined as body mass index 30 kg/m2 or greater. Men completed a questionnaire before surgery that included self-report of vigorous physical activity. Men who reported 1 hour or more per week of vigorous activities were considered physically active. Men reported their incontinence to the surgeon at their urology visits. Information on incontinence was abstracted from charts at 6 and 58 weeks after surgery. Results At 6 weeks after surgery 59% (405) of men were incontinent, defined as any pad use. At 58 weeks after surgery 22% (165) of men were incontinent. At 58 weeks incontinence was more prevalent in men who were obese and physically inactive (59% incontinent). Physical activity may offset some of the negative consequences of being obese because the prevalence of incontinence at 58 weeks was similar in the obese and active (25% incontinent), and nonbese and inactive (24% incontinent) men. The best outcomes were in men who were nonobese and physically active (16% incontinent). Men who were not obese and were active were 26% less likely to be incontinent than men who were obese and inactive (RR 0.74, 95% CI 0.52–1.06). Conclusions Pre-prostatectomy physical activity and obesity may be important factors in post-prostatectomy continence levels. Interventions aimed at increasing physical activity and decreasing weight in patients with prostate cancer may improve quality of life by offsetting the negative side effects of treatment.

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Urinary incontinence after radical retropubic prostatectomy is not related to patient body mass index

Cited by 18 publications

References 17 publications

Factors Predicting Early Return of Continence After Radical Prostatectomy

Factors Predicting Early Return of Continence After Radical Prostatectomy

Impact of Obesity on Surgical Outcomes following Open Radical Prostatectomy

Risk of Urinary Incontinence Following Prostatectomy: The Role of Physical Activity and Obesity

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