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The Impact of Open Radical Retropubic Prostatectomy on Continence and Lower Urinary Tract Symptoms: A Prospective Assessment Using Validated Self-Administered Outcome Instruments

2004; Lippincott Williams & Wilkins; Volume: 171; Issue: 3 Linguagem: Inglês

10.1097/01.ju.0000113964.68020.a7

1527-3792

Herbert Lepor, Ledia Kaçi,

Pelvic floor disorders treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Mar 2004The Impact of Open Radical Retropubic Prostatectomy on Continence and Lower Urinary Tract Symptoms: A Prospective Assessment Using Validated Self-Administered Outcome Instrumentsis corrected byRE: THE IMPACT OF OPEN RADICAL RETROPUBIC PROSTATECTOMY ON CONTINENCE AND LOWER URINARY TRACT SYMPTOMS: A PROSPECTIVE ASSESSMENT USING VALIDATED SELF-ADMINISTERED OUTCOME INSTRUMENTSRE: THE IMPACT OF OPEN RADICAL RETROPUBIC PROSTATECTOMY ON CONTINENCE AND LOWER URINARY TRACT SYMPTOMS: A PROSPECTIVE ASSESSMENT USING VALIDATED SELF-ADMINISTERED OUTCOME INSTRUMENTS HERBERT LEPOR and LEDIA KACI HERBERT LEPORHERBERT LEPOR and LEDIA KACILEDIA KACI View All Author Informationhttps://doi.org/10.1097/01.ju.0000113964.68020.a7AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the impact of radical retropubic prostatectomy on continence and lower urinary tract symptoms (LUTS). Materials and Methods: Between October 2000 and August 2002, 500 men with clinically localized prostate cancer underwent radical retropubic prostatectomy by a single surgeon, and completed the UCLA Prostate Cancer Index and American Urological Association (AUA) symptom index at baseline, 3, 6, 12 and 24 months after radical prostatectomy. Univariate analysis was performed to identify factors predisposing the early return of continence. Results: A total of 100%, 98.3%, 97.1%, 94.2% and 98.6% of patients filled out the UCLA Prostate Cancer Index and AUA symptom index at baseline, and 3, 6, 12 and 24 months, respectively. Based on protective pad requirement or frequency of incontinence 100%, 90.9%, 87.2%, 92.1% and 98.5% vs 98.8%, 80.6%, 91.2%, 95.2% and 98.5% of men were continent at baseline, 3, 6, 12 and 24 months after surgery, respectively. Age, severity of lower urinary tract symptoms, Gleason score, nerve sparing status, blood loss or presence of benign prostatic tissue in the apical soft tissue margin did not predict early return of continence. All of the individual urinary symptoms captured by the AUA symptom score showed significant improvement after radical retropubic prostatectomy. Radical prostatectomy was associated with a mean 5.4 unit decrease in AUA symptom score (40% decrease) in men with baseline moderate/severe LUTS (AUA symptom score 8 or greater). Conclusions: The majority of men regain continence after radical retropubic prostatectomy and maximal continence is achieved by 24 months. No factors were identified that predicted early return of continence in our cohort of men undergoing radical prostatectomy. Radical prostatectomy has a clinically significant impact on improving LUTS. References 1 : Postprostatectomy incontinence. Pathophysiology, evaluation, and management. Urol Clin North Am1991; 18: 229. 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publication date: 1-Feb-2014.Friedlander D, Alemozaffar M, Hevelone N, Lipsitz S and Hu J (2012) Stepwise Description and Outcomes of Bladder Neck Sparing During Robot-Assisted Laparoscopic Radical ProstatectomyJournal of Urology, VOL. 188, NO. 5, (1754-1760), Online publication date: 1-Nov-2012.Mitchell S, Jain R, Laze J and Lepor H (2011) Post-Prostatectomy Incontinence During Sexual Activity: A Single Center Prevalence StudyJournal of Urology, VOL. 186, NO. 3, (982-985), Online publication date: 1-Sep-2011.Sutherland D, Linder B, Guzman A, Hong M, Frazier H, Engel J and Bianco F (2011) 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.Shikanov S, Desai V, Razmaria A, Zagaja G and Shalhav A (2010) Robotic Radical Prostatectomy for Elderly Patients: Probability of Achieving Continence and Potency 1 Year After SurgeryJournal of Urology, VOL. 183, NO. 5, (1803-1807), Online publication date: 1-May-2010.Liss M, Osann K, Canvasser N, Chu W, Chang A, Gan J, Li R, Santos R, Skarecky D, Finley D and Ahlering T (2010) Continence Definition After Radical Prostatectomy Using Urinary Quality of Life: Evaluation of Patient Reported Validated QuestionnairesJournal of Urology, VOL. 183, NO. 4, (1464-1468), Online publication date: 1-Apr-2010.Loughlin K and Prasad M (2010) Post-Prostatectomy Urinary Incontinence: A Confluence of 3 FactorsJournal of Urology, VOL. 183, NO. 3, (871-877), Online publication date: 1-Mar-2010.Kumar A, Litt E, Ballert K and Nitti V (2009) Artificial Urinary Sphincter Versus Male Sling for Post-Prostatectomy Incontinence—What Do Patients Choose?Journal of Urology, VOL. 181, NO. 3, (1231-1235), Online publication date: 1-Mar-2009.Glickman L, Godoy G and Lepor H (2008) Changes in Continence and Erectile Function Between 2 and 4 Years After Radical ProstatectomyJournal of Urology, VOL. 181, NO. 2, (731-735), Online publication date: 1-Feb-2009.Slova D and Lepor H (2007) The Short-Term and Long-Term Effects of Radical Prostatectomy on Lower Urinary Tract SymptomsJournal of Urology, VOL. 178, NO. 6, (2397-2401), Online publication date: 1-Dec-2007.Elliott S, Meng M, Elkin E, McAninch J, Duchane J and Carroll P (2007) Incidence of Urethral Stricture After Primary Treatment for Prostate Cancer: Data From CaPSUREJournal of Urology, VOL. 178, NO. 2, (529-534), Online publication date: 1-Aug-2007.Burkhard F, Kessler T, Fleischmann A, Thalmann G, Schumacher M and Studer U (2018) Nerve Sparing Open Radical Retropubic Prostatectomy—Does It Have an Impact on Urinary Continence?Journal of Urology, VOL. 176, NO. 1, (189-195), Online publication date: 1-Jul-2006.Rocco F, Carmignani L, Acquati P, Gadda F, Dell’Orto P, Rocco B, Bozzini G, Gazzano G and Morabito A (2018) Restoration of Posterior Aspect of Rhabdosphincter Shortens Continence Time After Radical Retropubic ProstatectomyJournal of Urology, VOL. 175, NO. 6, (2201-2206), Online publication date: 1-Jun-2006.KAIHO Y, NAKAGAWA H, IKEDA Y, NAMIKI S, NUMAHATA K, SATOH M, SAITO S, YOSHIMURA K, TERAI A and ARAI Y (2018) INTRAOPERATIVE ELECTROPHYSIOLOGICAL CONFIRMATION OF URINARY CONTINENCE AFTER RADICAL PROSTATECTOMYJournal of Urology, VOL. 173, NO. 4, (1139-1142), Online publication date: 1-Apr-2005.Related articlesJournal of Urology9 Nov 2018RE: THE IMPACT OF OPEN RADICAL RETROPUBIC PROSTATECTOMY ON CONTINENCE AND LOWER URINARY TRACT SYMPTOMS: A PROSPECTIVE ASSESSMENT USING VALIDATED SELF-ADMINISTERED OUTCOME INSTRUMENTSJournal of Urology9 Nov 2018RE: THE IMPACT OF OPEN RADICAL RETROPUBIC PROSTATECTOMY ON CONTINENCE AND LOWER URINARY TRACT SYMPTOMS: A PROSPECTIVE ASSESSMENT USING VALIDATED SELF-ADMINISTERED OUTCOME INSTRUMENTS Volume 171Issue 3March 2004Page: 1216-1219 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.Keywordsprostatectomyprostatic neoplasmsurinary incontinenceurinary tractquality of lifeMetricsAuthor Information HERBERT LEPOR Financial interest and/or other relationship with Med Reviews. More articles by this author LEDIA KACI Nothing to disclose. More articles by this author Expand All Advertisement PDF downloadLoading ...