Evaluating urinary continence and preoperative predictors of urinary continence after robot assisted laparoscopic radical prostatectomy

The Journal of Urology
Giacomo NovaraWalter Artibani

Abstract

We evaluated urinary continence using a validated questionnaire in a series of consecutive patients who underwent robot assisted laparoscopic radical prostatectomy, and identified the preoperative predictors of the return to urinary continence. The clinical records of 308 consecutive patients who underwent robot assisted laparoscopic radical prostatectomy for clinically localized prostate cancer at a tertiary academic center were prospectively collected. All patients were continent before surgery. Urinary continence was evaluated using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form instrument. All of the patients reporting no leak in response to the question, "How often do you leak urine?" were defined as continent. A total of 273 patients (90%) were continent 12 months after robot assisted laparoscopic radical prostatectomy. Continent patients were significantly younger (61.4 +/- 6.4 vs 64.1 +/- 6.1 years, p = 0.02) than those who were incontinent. On univariable regression analysis patient age at surgery (OR 1.075, p = 0.024) and Charlson comorbidity index (OR 1.671, p = 0.007) were significantly associated with 12-month continence status. On multivariable analysis age (OR 1.076, ...Continue Reading

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Citations

Dec 15, 2012·Current Urology Reports·Thomas E AhleringDouglas W Skarecky
May 17, 2011·Journal of Endourology·Holger GerullisThomas Otto
Oct 4, 2012·Journal of Endourology·Jesse D SammonMani Menon
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Jul 8, 2017·International Journal of Urology : Official Journal of the Japanese Urological Association·Masatomo NishikawaToshifumi Kurahashi
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Apr 18, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Oscar LauciricaMarta Muniesa

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