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Post-Prostatectomy Urinary Incontinence: A Confluence of 3 Factors

2010; Lippincott Williams & Wilkins; Volume: 183; Issue: 3 Linguagem: Inglês

10.1016/j.juro.2009.11.011

1527-3792

Kevin R. Loughlin, Michaella M. Prasad,

Urinary Bladder and Prostate Research

No AccessJournal of UrologyReview Article1 Mar 2010Post-Prostatectomy Urinary Incontinence: A Confluence of 3 Factors Kevin R. Loughlin and Michaella M. Prasad Kevin R. LoughlinKevin R. Loughlin and Michaella M. PrasadMichaella M. Prasad View All Author Informationhttps://doi.org/10.1016/j.juro.2009.11.011AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Urinary incontinence has a significant impact on the quality of life of patients who undergo radical prostatectomy for prostate cancer. We reviewed available published data to analyze the etiology and prevention of this surgical complication. Materials and Methods: A MEDLINE® search of the literature on this topic was performed. Results: There was a wide disparity in the reported rates of urinary incontinence after radical prostatectomy due to various reasons including definitions, patient selection and intraoperative technical factors. Conclusions: Postoperative urinary incontinence has a major impact on patient satisfaction after radical prostatectomy. Attention to factors including patient selection, nuances of the surgical technique, and a more uniform, widespread agreement on the definition and instruments to measure postoperative incontinence is needed to enhance surgical outcomes. In addition, further research is needed to improve the diagnosis and treatment of urinary incontinence after prostate cancer surgery. References 1 : Prospective assessment of patient reported urinary continence radical prostatectomy. J Urol2000; 164: 744. Link, Google Scholar 2 : Evaluation and management of intrinsic sphincter deficiency after radical prostatectomy. AUA Update Series2007; 26. lesson 15. Google Scholar 3 : The urethral sphincter muscle in the male. Am J Anat1980; 158: 229. Google Scholar 4 : The puboprostatic ligament and the male urethral suspensory mechanism: an anatomic study. Urology1994; 44: 530. 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Google Scholar Division of Urology, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byWein A (2019) Re: Estimated Minimal Residual Membranous Urethral Length on Preoperative Magnetic Resonance Imaging Can be a New Predictor for Continence after Radical ProstatectomyJournal of Urology, VOL. 203, NO. 2, (261-262), Online publication date: 1-Feb-2020.Patel N, Golan R, Halpern J, Sun T, Asafu-Adjei A, Chughtai B, Stahl P, Sedrakyan A and Kashanian J (2018) A Contemporary Analysis of Dual Inflatable Penile Prosthesis and Artificial Urinary Sphincter OutcomesJournal of Urology, VOL. 201, NO. 1, (141-146), Online publication date: 1-Jan-2019.Xu A, Taksler G, Llukani E and Lepor H (2018) Long-Term Continence Outcomes in Men Undergoing Radical Prostatectomy: A Prospective 15-Year Longitudinal StudyJournal of Urology, VOL. 200, NO. 3, (626-632), Online publication date: 1-Sep-2018.Bianco F, Albala D, Belkoff L, Miles B, Peabody J, He W, Bradt J, Haas G and Ahlering T (2018) A Randomized, Double-Blind, Solifenacin Succinate versus Placebo Control, Phase 4, Multicenter Study Evaluating Urinary Continence after Robotic Assisted Radical ProstatectomyJournal of Urology, VOL. 193, NO. 4, (1305-1310), Online publication date: 1-Apr-2015.Anderson C, Kaufman M, Dietrich M, Barocas D, Chang S, Cookson M, Smith J, Clark P and Herrell S (2018) Recovery of Urinary Function After Radical Prostatectomy: Identification of Trajectory Cluster GroupsJournal of Urology, VOL. 187, NO. 4, (1346-1351), Online publication date: 1-Apr-2012.Sutherland D, Linder B, Guzman A, Hong M, Frazier H, Engel J and Bianco F (2018) Posterior Rhabdosphincter Reconstruction During Robotic Assisted Radical Prostatectomy: Results From a Phase II Randomized Clinical TrialJournal of Urology, VOL. 185, NO. 4, (1262-1267), Online publication date: 1-Apr-2011.Tollefson M, Gettman M, Karnes R and Frank I (2018) Administrative Data Sets are Inaccurate for Assessing Functional Outcomes After Radical ProstatectomyJournal of Urology, VOL. 185, NO. 5, (1686-1690), Online publication date: 1-May-2011. Volume 183Issue 3March 2010Page: 871-877 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordsurinary incontinenceprostatectomypostoperative complicationspatient selectionMetricsAuthor Information Kevin R. Loughlin Financial interest and/or other relationship with Predictive Biosciences, Tengion and Certus Medical. More articles by this author Michaella M. Prasad Nothing to disclose. More articles by this author Expand All Advertisement PDF downloadLoading ...