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Pad Use and Patient Reported Bother From Urinary Leakage After Radical Prostatectomy

2011; Lippincott Williams & Wilkins; Volume: 187; Issue: 1 Linguagem: Inglês

10.1016/j.juro.2011.09.030

1527-3792

Anna Wallerstedt, Stefan Carlsson, Andréas Nilsson, Eva Johansson, Tommy Nyberg, Gunnar Steineck, Peter Wiklund,

Urological Disorders and Treatments

No AccessJournal of UrologyAdult Urology1 Jan 2012Pad Use and Patient Reported Bother From Urinary Leakage After Radical Prostatectomy Anna Wallerstedt, Stefan Carlsson, Andreas E. Nilsson, Eva Johansson, Tommy Nyberg, Gunnar Steineck, and N. Peter Wiklund Anna WallerstedtAnna Wallerstedt Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden , Stefan CarlssonStefan Carlsson Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden , Andreas E. NilssonAndreas E. Nilsson Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden , Eva JohanssonEva Johansson Department of Oncology and Pathology, Section of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden , Tommy NybergTommy Nyberg Department of Oncology and Pathology, Section of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden , Gunnar SteineckGunnar Steineck Department of Oncology and Pathology, Section of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden Institute of Clinical Sciences, Department of Oncology, Division of Clinical Cancer Epidemiology, The Sahlgrenska Academy, Gothenburg, Sweden , and N. Peter WiklundN. Peter Wiklund Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden View All Author Informationhttps://doi.org/10.1016/j.juro.2011.09.030AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: To better understand clinically significant definitions of urinary incontinence we investigated the relationship between urinary leakage and patient reported bother from urinary leakage. Materials and Methods: A consecutive series of 1,411 men who underwent radical prostatectomy at Karolinska University Hospital, Stockholm, Sweden, from 2002 to 2006 were invited to complete a study specific questionnaire with questions on pad status, urinary leakage and bother from urinary leakage. Results: Questionnaires were received from 1,179 men with a followup of greater than 1 year (median 2.2). Results showed that even a small amount of urinary leakage resulted in a high risk of urinary bother. Of 775 survivors 46 (6%) reporting 0 pads indicated moderate or much bother compared to 38 of 123 (31%) who reported using a security pad. When comparing the 2 groups, the risk of bother from urinary leakage was more than 5 times higher in the safety pad vs the 0 pad group (RR 5.2, 95% CI 3.5–7.7). As the number of pads increased, we noted a higher bother risk. Cross-tabulation of pad use and urinary leakage revealed wide variation in pad requirements despite the same answer to urinary leakage questions. Conclusions: If the definition of continence is based on pad use, for example safety pads, a certain number of men who report moderate or much bother from urinary leakage will be defined as continent. Our results also show that for each stated rate of urinary leakage men prove to have a major variation in the pad requirement. 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Volume 187Issue 1January 2012Page: 196-200 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.Keywordsurinary incontinenceprostatic neoplasmsprostatequality of lifeprostatectomyMetricsAuthor Information Anna Wallerstedt Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden More articles by this author Stefan Carlsson Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden More articles by this author Andreas E. Nilsson Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden More articles by this author Eva Johansson Department of Oncology and Pathology, Section of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden More articles by this author Tommy Nyberg Department of Oncology and Pathology, Section of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden More articles by this author Gunnar Steineck Department of Oncology and Pathology, Section of Clinical Cancer Epidemiology, Karolinska Institutet, Stockholm, Sweden Institute of Clinical Sciences, Department of Oncology, Division of Clinical Cancer Epidemiology, The Sahlgrenska Academy, Gothenburg, Sweden Equal study contribution. More articles by this author N. Peter Wiklund Department of Molecular Medicine and Surgery, Section of Urology, Karolinska Institutet, Stockholm, Sweden Equal study contribution. 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