What Parameters Affect Continence after Radical Prostatectomy?
BAUS ePoster online library. Rudd I. 06/30/16; 132013; P10-13
Mr. Ian Rudd
Mr. Ian Rudd
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Abstract
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P10-13

Introduction

Urinary incontinence (UI) after radical prostatectomy (RP) has a significant detrimental effect on quality of life. It has been reported that laparoscopic or robotic assisted laparoscopic prostatectomy (RALP) results in better outcomes in the short term and nerve sparing procedures are also associated with a reduced incidence of UI. Little is otherwise known about what parameters influence UI after RP

 

Patients and Methods

We analysed a prospectively collected database of 605 consecutive RALPs by a single surgeon. All were performed with a posterior reconstruction and a modified Van Velthoven anastomosis. Pad number and ICIQ scores were assessed at 6 weeks, 3, 6, 12, 18 and 24 months. UI outcomes were analysed in relation to age, prostate size, BMI, nerve sparing procedures, bladder neck sparing procedures, previous TURP, training cases and extended lymph node dissections.

 

Results

Pad usage and ICIQ scores decrease dramatically between 6 weeks post operatively and 12 months, At  24 months mean pad usage is only 0.2 pads and ICIQ score 2.5.

 

Patients over the age of 70 had significantly worse UI (p=0.0021). Bilateral nerve sparing was associated with reduced pad use (P < 0.001)and ICIQ scores up to 3 months (P =0.0014) but not beyond.

 

There is no significant difference in outcomes with prostate size, BMI, previous TURP, extended lymph node dissections, training cases or the use of a bladder neck sparing procedure.

 

Conclusion

Overall continence rates are good after RP. Increasing age is the only parameter that significantly affects long term outcomes.

P10-13

Introduction

Urinary incontinence (UI) after radical prostatectomy (RP) has a significant detrimental effect on quality of life. It has been reported that laparoscopic or robotic assisted laparoscopic prostatectomy (RALP) results in better outcomes in the short term and nerve sparing procedures are also associated with a reduced incidence of UI. Little is otherwise known about what parameters influence UI after RP

 

Patients and Methods

We analysed a prospectively collected database of 605 consecutive RALPs by a single surgeon. All were performed with a posterior reconstruction and a modified Van Velthoven anastomosis. Pad number and ICIQ scores were assessed at 6 weeks, 3, 6, 12, 18 and 24 months. UI outcomes were analysed in relation to age, prostate size, BMI, nerve sparing procedures, bladder neck sparing procedures, previous TURP, training cases and extended lymph node dissections.

 

Results

Pad usage and ICIQ scores decrease dramatically between 6 weeks post operatively and 12 months, At  24 months mean pad usage is only 0.2 pads and ICIQ score 2.5.

 

Patients over the age of 70 had significantly worse UI (p=0.0021). Bilateral nerve sparing was associated with reduced pad use (P < 0.001)and ICIQ scores up to 3 months (P =0.0014) but not beyond.

 

There is no significant difference in outcomes with prostate size, BMI, previous TURP, extended lymph node dissections, training cases or the use of a bladder neck sparing procedure.

 

Conclusion

Overall continence rates are good after RP. Increasing age is the only parameter that significantly affects long term outcomes.

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