Incidence of Fecal and Urinary Incontinence Following Radical Perineal and Retropubic Prostatectomy in a National Population

Bishoff, Jay T.; Motley, Garrick; Optenberg, Scott A.; Stein, Catherine R.; Moon, Kathleen A.; Browning, Scott M.; Sabanegh, Edmund; Foley, John P.; Thompson, Ian M.

doi:10.1016/s0022-5347(01)62924-0

Cited by 117 publications

(52 citation statements)

References 12 publications

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“…Daum, et al, 4 performed a prospective, longitudinal study of RPP patients using the bowel domain of the EPIC questionnaire as well. Patients were evaluated preoperatively and at 3-month intervals after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Bishoff et al, suggested, however, that there is a higher incidence of fecal incontinence with RPP than radical retropubic prostatectomy (RRP) and that patients under reported these symptoms to their doctors. 3 However, Daum et al, 4 reported that most RPP patients see a return to preoperative bowel function base-line soon after surgery. We have not noted a high complaint rate of fecal incontinence and bowel dysfunction among our radical prostatectomy population.…”

Section: Introductionmentioning

confidence: 99%

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Preservation of fecal continence and bowel function after radical perineal and retropubic prostatectomy: a questionnaire-based outcomes study

Korman

Mulholland

Huang

2004

Prostate Cancer Prostatic Dis

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Purpose: To assess fecal incontinence rates and bowel function for radical perineal (RPP) or radical retropubic (RRP) prostatectomy patients and to compare them with a matched control group. Methods: The bowel function domain of the Expanded Prostate Cancer Index Composite (EPIC) was mailed to 150 consecutive patients who had undergone RPP (79) or RRP (71) by the same surgeon (HJK) and an age-matched control group (75). Results: Fecal incontinence and bowel dysfunction were statistically equivalent for the study groups. Conclusions: There is no difference in fecal incontinence rates or bowel function when comparing RPP patients to RRP or control patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preservation of fecal continence and bowel function after radical perineal and retropubic prostatectomy: a questionnaire-based outcomes study

Korman

Mulholland

Huang

2004

Prostate Cancer Prostatic Dis

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“…Urinary continence was regained in 36.7% of patients the day of catheter removal, 54.1% after one month, 72.5%, after 3 months, and 95.3% after 12 months. Previous studies showed that continence recovery was achieved in up to 96 % of patients (5,(9)(10)(11).…”

Section: Commentsmentioning

confidence: 94%

“…On the other hand, because the RP surgeries are constantly increasing all over the world, the prevalence of post-RP incontinence has probably increased (5).…”

Section: Introductionmentioning

confidence: 99%

Radical perineal prostatectomy and early continence: outcomes after 120 cases

Albayrak¹,

Cangüven²,

Göktaş³

et al. 2010

Int. braz j urol.

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Purpose: Evaluate the results of urinary continence on patients who had undergone radical perineal prostatectomy (RPP) for clinically localized prostate cancer. Materials and Methods:We analyzed the continence data of 120 patients with pathology of cT1-cT2N0M0 prostate cancer and who had undergone RPP. Continence was assessed on the day of catheter removal, at the end of the first and third month, and the first year postoperatively. The patients who were continent immediately after catheter removal were classified in the group of "immediately continent" while the patients who became continent during the 3 postoperative months were classified as "early continent." Results: Mean duration of catheterization was 10 (10-25) days. Of 120 patients, 44 (36.7%) were immediately continent. At the end of the first and third months, 65 (54.1%) and 87 (72.5%), respectively, were early continent. At the one-year follow-up, 95.3% of 107 cases whose one-year follow-up data were available were continent. When the relationship between patients' age and continence was analyzed, it was found that the early continence rates were 77.7% (7/9), 73.3% (33/45), 73.4% (36/49), and 64.7% (11/17) in the groups of ≤ 49, 50-59, 60-69, and ≥ 70 years, respectively (p = 0.68). Conclusions: The majority of patients who underwent RPP rapidly regained continence within 3 months. RPP is an exceptional alternative approach for radical surgery in the treatment of localized prostate cancer.

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“…In 1998, Bishoff et al reported a significant rate of fecal incontinence in patients after prostatectomy (24). Patients were mailed a questionnaire asking about both fecal and urinary incontinence.…”

Section: Complicationsmentioning

confidence: 99%

Case selection and outcome of radical perineal prostatectomy in localized prostate cancer

et al. 2003

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Radical prostatectomy continues to play a central role in the management of localized prostate cancer. The majority of patients diagnosed with prostate cancer will undergo radical prostatectomy. A decrease in the morbidity of this surgical procedure has been accomplished through an improved understanding of pelvic anatomy and a greater understanding of the natural history of prostate cancer. Recently, minimally invasive techniques have been applied to radical prostatectomy (laparoscopic prostatectomy) in order to further decrease the morbidity of this operation. What remains to be determined is whether this approach confers the same long term surgical outcomes as the open approach. One method which offers known long term outcomes coupled with decreased morbidity is the radical perineal prostatectomy. The purpose of this paper is to review the criteria for patient selection as well as outcomes of the radical perineal prostatectomy.

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Incidence of Fecal and Urinary Incontinence Following Radical Perineal and Retropubic Prostatectomy in a National Population

Cited by 117 publications

References 12 publications

Preservation of fecal continence and bowel function after radical perineal and retropubic prostatectomy: a questionnaire-based outcomes study

Preservation of fecal continence and bowel function after radical perineal and retropubic prostatectomy: a questionnaire-based outcomes study

Radical perineal prostatectomy and early continence: outcomes after 120 cases

Case selection and outcome of radical perineal prostatectomy in localized prostate cancer

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