How Should Continence and Incontinence after Radical Prostatectomy be Evaluated? A Prospective Study of Patient Ratings and Changes with Time

Abstract

The prevalence of post-prostatectomy incontinence varied considerably according to the definition applied. In our opinion incontinence may be reported as any leakage and not only as pad use with grading done on a symptom scale. Preoperative sexual dysfunction and urinary incontinence were the strongest predictors of post-prostatectomy incontinence at 12-month followup.

Argus-T Adjustable Male Sling: The Influence of Surgical Technique on Complications and Short-Term Efficacy

“…Cured: Patients were classified as cured of their post-radical prostatectomy incontinence when there was 0-2 g urine loss in 24-hour pad test and no pad use at all [5,8]. …”

“…It is difficult to compare current literature because definitions of inclusion and exclusion criteria are inadequate, definition of success is unclear and complication reports lack standardization [5]. To complicate matters even more, several male slings can be implanted in different ways and knowledge about the influence of different surgical approaches on efficacy and complication rates is unknown.…”

Severe postprostatectomy incontinence: Is there an association between preoperative urodynamic findings and outcome of incontinence surgery?

“…The basis for this study was a national and a local prospective study of adverse effects following RP (n = 844) performed at a total of 14 urological units in Norway (2005)(2006)(2007)(2008)(2009). The total RP sample and the prevalence of PPI at 12 months have been described previously [9]. To identify patients with persistent severe PPI in that sample, a new questionnaire (Q1) was sent out more than 12 months postoperatively (February 2011).…”

A pragmatic approach to the characterization and effective treatment of male patients with postprostatectomy incontinence

“…The definition of PPI is still under debate, as it is highly dependent from the impact of symptoms on quality of life of the patient and from the tools used in clinical practice [14]. In particular, Holm et al [14] have recently highlighted that simply considering PPI as pad usage was not consistent with the symptoms harbored by the patients, and that pad use should not be the sole basis of PPI definition.…”

“…In particular, Holm et al [14] have recently highlighted that simply considering PPI as pad usage was not consistent with the symptoms harbored by the patients, and that pad use should not be the sole basis of PPI definition. However, in the subgroup of men with PPI using protections, the perceived number of pads used were recently found highly correlated with the severity of incontinence on a 24-h pad test in a prospective evaluation [15 && ].…”