Continence Definition After Radical Prostatectomy Using Urinary Quality of Life: Evaluation of Patient Reported Validated Questionnaires

Abstract

Results show a significant decrease in quality of life between no pads (1.16 or pleased), a security pad and 0 or 1 pad (2.78 and 3.41 or mixed, respectively). Findings do not support defining continence with a security pad or 0 to 1 pad. Continence should be strictly defined as 0 pads.

Urodynamic Evaluation Before and Immediately After Robot-assisted Radical Prostatectomy

“…1 Some studies have examined the mechanism of incontinence after RP with regard to urethral sphincter and bladder storage functions. Urodynamic evaluations have also been performed to examine the continence status and reasons for incontinence after RP.…”

Timing of Urinary Pad Exchanges Was the Most Important Factor Affecting Quality of Life in the Early Postoperative Period After Robot-Assisted Laparoscopic Radical Prostatectomy

“…Because there is the possibility that not only the pad use, such as pad form and pad size, but also wearing pads in itself 21,22 could affect QoL in the late postoperative period, further long-term investigations are needed.…”

Phase 1 Clinical Trial of Vesicare™ (Solifenacin) in the Treatment of Urinary Incontinence After Radical Prostatectomy

“…Continence was defined as zero-pad usage. 3 If we did not receive a postcard, then regular email or telephone contact was obtained to determine when the patient reached zero-pad continence.…”

“…2 It has been reported that most men undergoing surgery report diminished ''urinary function,'' in part, due to a postoperative incontinence potentially necessitating the use of multiple urinary pads per day. [3][4][5] The pathophysiology of postoperative incontinence is largely due to intrinsic sphincter deficiency and may be exacerbated by detrusor instability and poor bladder compliance. [6][7][8] Sphincter incompetence may allow urine to leak into the urethra causing irritation and subsequent detrusor instability.…”