Late‐onset incontinence in a cohort of radical prostatectomy patients

Naselli, Angelo; Simone, Giuseppe; Papalia, Rocco; Gallucci, Michele; Introini, Carlo; Andreatta, Rossana; Puppó, P.

doi:10.1111/j.1442-2042.2010.02666.x

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…In our series, however, the mean urinary function score and continence rate beyond 5 years appeared to be stable. A previous retrospective study showed that late incontinence occurred in more than 10% of patients at 7 or more years after undergoing RP . Given the small subset of evaluable patients on which the results are based, these results might limit the generalizability of our conclusion.…”

Section: Discussionmentioning

confidence: 81%

Long‐term quality of life after radical prostatectomy: 8‐Year longitudinal study in Japan

et al. 2014

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Objectives: To assess long-term health-related quality of life in patients undergoing radical prostatectomy. Methods: A total of 120 patients with at least 5 years of follow up after radical prostatectomy were included in the present study. Health-related quality of life outcomes were assessed using three questionnaires, the Short Form 36-Item Health Survey, the University of California, Los Angeles Prostate Cancer Index and the International Prostate Symptom Score. Results: A total of 91 patients (73%) responded at a median follow-up time of 102 months (range 85-123 months). Among general health-related quality of life domains, mental and role composite summary score remained stable throughout the follow-up period. At the final survey, no significant differences were observed in any of the domains compared with the age-matched average score of the Japanese population. Although the slight decrease in urinary function scores and International Prostate Symptom Score beyond 5 years postoperatively compared with 5 years, the differences were not significant. The sexual function summary score showed a substantially lower score just after radical prostatectomy and remained at a deteriorated level (P < 0.001). Responders at the final survey were more likely to report favorable general, urinary and sexual outcomes at 60 months compared with non-responders. Conclusions: When taking age-related changes into account, general health-related quality of life seems to remain stable in the long term after radical prostatectomy: patients with favorable health-related quality of life outcomes during the first 5 years after radical prostatectomy maintain favorable outcomes thereafter.

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Section: Discussionmentioning

confidence: 81%

Long‐term quality of life after radical prostatectomy: 8‐Year longitudinal study in Japan

et al. 2014

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“…Similar findings have been obtained at 15 years after surgery [ 16 ]. Naselli et al found that 11% of patients with complete continence after 2 years later developed urinary incontinence [ 17 ]. In the current study, age was an independent factor related to urinary function and bother, and the worsening of these functions in the third year after surgery is similar to that observed in the reports above.…”

Section: Discussionmentioning

confidence: 99%

Prospective longitudinal outcomes of quality of life after laparoscopic radical prostatectomy compared with retropubic radical prostatectomy

Hashine

Kakuda

Iuchi

et al. 2018

Health Qual Life Outcomes

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BackgroundThere have been few reports on health-related quality of life (HRQOL) after laparoscopic radical prostatectomy (LRP) in Japanese patients. The aim of this study is to assess changes in HRQOL during 36 months after LRP compared with retropubic radical prostatectomy (RRP).MethodsThe subjects were 105 consecutive patients treated with LRP between 2011 and 2012. HRQOL was evaluated using the International Prostate Symptom Score (IPSS), Medical Outcome Study 8-Items Short Form Health Survey (SF-8), and Expanded Prostate Cancer Index Composite (EPIC) at baseline and 1, 3, 6, 12 and 36 months after surgery. These results were compared with data for 107 consecutive patients treated with RRP between 2005 and 2007. The comparison between LRP and RRP was examined at every time point by Mann-Whitney U-test and chi-square test. Multiple linear regression analysis was used to identify independent factors related to the urinary domain in EPIC.ResultsThe IPSS change was similar in both groups. The LRP group had a better SF-8 mental component summary score at baseline and a better SF-8 physical component summary score at 1 month after surgery. In EPIC, urinary function and bother were worse after LRP, but improved at 12 months and did not differ significantly from those after RRP; however, these factors then worsened again at 36 months after LRP. Urinary incontinence was also worse at 36 months after LRP, compared to RRP. In patients treated with nerve-sparing surgery, urinary function and urinary incontinence were similar and good at 12 and 36 months in both groups. Bowel function and bother, and sexual function and bother were similar in both groups and showed no changes from 12 to 36 months. Age and salvage radiotherapy were independent predictors of incontinence (daily use of two or more pads) in multivariate analysis. Surgical procedure was not an independent factor for incontinence, but incontinence defined as use of one pad or more was associated with the surgical procedure.ConclusionsUrinary function and bother at 36 months were worse after LRP than after RRP. Age, salvage radiotherapy and surgical procedure were associated with urinary incontinence after 36 months.

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“…Pelvic floor muscle training is a common practice after RARP as it improves pelvic muscle strength and continence occurs faster when adopted [ 8 ]. As ageing is associated with late onset incontinence following radical prostatectomy, one should be counselled for the same [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Mucosal coaptation (Santosh-PGI) technique for early urinary continence after Robot assisted radical prostatectomy: A comparative exploratory study

Kumar

Soni

Chandna

et al. 2021

Cent european J Urol

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Introduction Urinary incontinence is a troublesome complication following radical prostatectomy. Various robot-assisted radical prostatectomy (RARP). We describe our technique (Santosh-PGI) of urethral and urinary bladder mucosa coaptation for early continence following RARP. Material and methods We performed a prospective comparative study of patients planned for RARP between July 2018 and December 2019 at our centre. A total of 40 patients were enrolled in the study protocol. Following prostatectomy, patients were alternatively assigned into two groups. In one group, urethral and urinary bladder coaptation sutures were placed in a purse string manner using 3-0 Monocryl sutures and none in the another group. All patients underwent standard end to end vesico-urethral anastomosis as described by Van Velthoven. The urinary catheter was removed on day 10 after surgery. All patients were evaluated on day 1, 30 and 90 after catheter removal. Results The two groups, each with 20 patients, were comparable in terms of age, clinical staging and D’Amico risk classification. The operative time, blood loss and surgical margin positivity were comparable. Following catheter removal, 75% of patients in Group A (Mucosal coaptation) and 50% in Group B (Standard technique) were continent (p = 0.264). At 30 and 90 days, 90% and 95% in Group A and 60% and 80% in Group B reported continence respectively (p-0.078). Four patients in group B reported bothersome incontinence at 90 days follow-up. Conclusions Urethral and urinary bladder mucosal coaptation is a simple innovative technique for early continence following RARP.

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Late‐onset incontinence in a cohort of radical prostatectomy patients

Cited by 6 publications

References 17 publications

Long‐term quality of life after radical prostatectomy: 8‐Year longitudinal study in Japan

Long‐term quality of life after radical prostatectomy: 8‐Year longitudinal study in Japan

Prospective longitudinal outcomes of quality of life after laparoscopic radical prostatectomy compared with retropubic radical prostatectomy

Mucosal coaptation (Santosh-PGI) technique for early urinary continence after Robot assisted radical prostatectomy: A comparative exploratory study

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