Continence criteria of 193 618 patients after open, laparoscopic, and robot‐assisted radical prostatectomy

Moretti, Tomás B.C.; Magna, Luís A.; Reis, Leonardo O.

doi:10.1111/bju.16180

Cited by 6 publications

(1 citation statement)

References 23 publications

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“…"No pad" after radical prostatectomy is currently considered to have the best effect in assessing the effect of other factors on urinary incontinence (52). The baseline level (surgical method, degree of urinary incontinence, and other physical indicators) of patients after radical prostatectomy also has a certain impact on the treatment effect of patients.…”

Section: Discussionmentioning

confidence: 99%

Urinary incontinence rehabilitation of after radical prostatectomy: a systematic review and network meta-analysis

Yu,

Bu,

Jian

et al. 2024

Front. Oncol.

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PurposeThe aim of this study is to provide treatment for patients with urinary incontinence at different periods after radical prostatectomy.MethodsThe PubMed, Embase, Cochrane, and Web of Science were searched for all literature on the effectiveness on urinary control after radical prostate cancer between the date of database creation and 15 November 2023 and performed a quality assessment. A network meta-analysis was performed using RevMan 5.3 and Stata 17.0 software and evaluated using the surface under the cumulative ranking curve.ResultsThe results of the network meta-analysis showed that pelvic floor muscle therapy including biofeedback with professional therapist–guided treatment demonstrated better results at 1 month to 6 months; electrical stimulation, biofeedback, and professional therapist guidance may be more effective at 3 months of treatment; professional therapist–guided recovery may be less effective at 6 months of treatment; and combined therapy demonstrated better results at 1 year of treatment. During the course of treatment, biofeedback with professional therapist–guided treatment may have significant therapeutic effects in the short term after surgery, but, in the long term, the combination of multiple treatments (pelvic floor muscle training+ routine care + biofeedback + professional therapist–guided treatment + electrical nerve stimulation therapy) may address cases of urinary incontinence that remain unrecovered long after surgery.ConclusionIn general, all treatment methods improve the different stages of functional recovery of the pelvic floor muscles. However, in the long term, there are no significant differences between the treatments. Given the cost-effectiveness, pelvic floor muscle training + routine care + biofeedback + professional therapist–guided treatment + electrical nerve stimulation therapy within 3 months and pelvic floor muscle + routine care after 3 months may be a more economical option to treat urinary incontinence.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=331797, identifier CRD42022331797.

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Section: Discussionmentioning

confidence: 99%

Urinary incontinence rehabilitation of after radical prostatectomy: a systematic review and network meta-analysis

Yu,

Bu,

Jian

et al. 2024

Front. Oncol.

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RE: Baunacke M, et al. Insufficient utilization of care in male incontinence surgery: health care reality in Germany from 2006 to 2020 and a systematic review of the international literature. World J Urol. 2023 Jul;41(7):1813–1819

Brument,

Kulawik,

Cornu

2023

World J Urol

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Urinary continence outcomes, surgical margin status, and complications after radical prostatectomy in 2,141 German patients treated in one high-volume inpatient rehabilitation clinic in 2022

Bahlburg,

Rausch,

Tully

et al. 2024

World J Urol

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Purpose To identify independent predictors of urinary continence and report early complications after radical prostatectomy (RP) in a large, contemporary German cohort. Methods Urinary incontinence data of patients undergoing 3-week inpatient rehabilitation (IR) after RP were prospectively assessed by 24-hr pad test and uroflowmetry at the beginning and the end of IR, respectively. Lymphoceles were assessed prospectively by ultrasound. Tumor and patient characteristics, and information on urinary leakage on initial cystography were retrospectively extracted from discharge letters and surgical reports. Regression analyses were performed to identify predictors of urinary continence at the beginning of IR. Results Overall, 2,141 patients were included in the final analyses. Anastomotic leakage on the initial cystography and lymphoceles were found in 11.4% and 30.8% of patients, respectively. Intervention for a symptomatic lymphocele was required in 4.2% of patients. At the end of IR, 54.2% of patients were continent, while the median urine loss decreased to 73 g (interquartile range 15–321). Multivariable logistic regression analysis identified age and diabetes mellitus as independent negative predictors, but nerve-sparing surgery as an independent positive predictor of urinary continence (each p < 0.001). Multivariable linear regression analysis showed that 24-hr urine loss increased by 7 g with each year of life (p < 0.001), was 79 g higher in patients with diabetes mellitus (p = 0.007), and 175 g lower in patients with NS (p < 0.001). Conclusion Age, diabetes mellitus, and NS are significantly associated with continence outcomes in the early period after RP. Our analyses may help clinicians to pre-operatively counsel patients on potential surgical outcomes.

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Continence criteria of 193 618 patients after open, laparoscopic, and robot‐assisted radical prostatectomy

Cited by 6 publications

References 23 publications

Urinary incontinence rehabilitation of after radical prostatectomy: a systematic review and network meta-analysis

Urinary incontinence rehabilitation of after radical prostatectomy: a systematic review and network meta-analysis

RE: Baunacke M, et al. Insufficient utilization of care in male incontinence surgery: health care reality in Germany from 2006 to 2020 and a systematic review of the international literature. World J Urol. 2023 Jul;41(7):1813–1819

Urinary continence outcomes, surgical margin status, and complications after radical prostatectomy in 2,141 German patients treated in one high-volume inpatient rehabilitation clinic in 2022

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