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Influence of secondary diagnoses in the development of urinary incontinence after radical prostatectomy

Bárbara Padilla-Fernández, Álvaro Julio Virseda-Rodríguez, Lauro Sebastián Valverde-Martínez, Bruno Jorge Pereira, Hugo Coelho, Maria Tatiana Santos-Antunes, Manuel Montesino-Semper, Carlos Müller-Arteaga, José Luis Álvarez-Ossorio-Fernández, Filippo Migliorini, Ana Lorenzo-Gómez, María Begoña García-Cenador, Patricia Antúnez-Plaza, Juan Miguel Silva-Abuín, María Fernanda Lorenzo-Gómez
  • Álvaro Julio Virseda-Rodríguez
    Department of Urology, University Hospital of Salamanca, Spain
  • Lauro Sebastián Valverde-Martínez
    Department of Urology, Health Complex of Ávila, Spain
  • Bruno Jorge Pereira
    Department of Urology, University Hospital of Pêro da Covilhã, Covilha, Portugal
  • Hugo Coelho
    Department of Urology, University Hospital of Coimbra (CHUC), Portugal
  • Maria Tatiana Santos-Antunes
    Department of Maxillofacial Surgery, Central Hospital Complex of Lisboa, Portugal
  • Manuel Montesino-Semper
    Department of Urology, University Hospital Virgen del Camino of Pamplona, Spain
  • Carlos Müller-Arteaga
    Department of Urology, University Hospital Complex of Ourense, Spain
  • José Luis Álvarez-Ossorio-Fernández
    Department of Urology, University Hospital Puerta del Mar of Cádiz, Spain
  • Filippo Migliorini
    Department of Urology, University Hospital Integrated Trust of Verona, Italy
  • Ana Lorenzo-Gómez
    Department of Surgery, University of Salamanca, Spain
  • María Begoña García-Cenador
    Department of Surgery, University of Salamanca, Spain
  • Patricia Antúnez-Plaza
    Department of Pathology, University Hospital of Salamanca, Spain
  • Juan Miguel Silva-Abuín
    Department of Urology, University Hospital San Pedro of Logroño, Spain
  • María Fernanda Lorenzo-Gómez
    Department of Urology, University Hospital of Salamanca; Department of Surgery, University of Salamanca, Spain

Abstract

Objective: To study whether there are factors related to secondary diagnoses (SDg) present in patients with prostate cancer that influence the development of urinary incontinence after radical prostatectomy (RP). Materials and methods: A retrospective multicenter observational study was performed reviewing the medical records of 430 men who underwent RP due to organ-confined prostate cancer in 9 different hospitals. Two study groups were distinguished: Group A (GA): Patients without urinary incontinence after RP; Group B (GB): patients with any degree of post-surgical urinary incontinence. Results: Average age at surgery was 63.42 years (range 45-73). 258 patients were continent after surgery and 172 patients complaint of any degree of incontinence after RP. A higher percentage of healthy patients was found in group A (continent after surgery) than in group B (p = 0.001). The most common SDg prior to surgery were hypertension, lower urinary tract symptoms, dyslipidemia, diabetes mellitus and erectile dysfunction, but none did show a greater trend towards post-surgical incontinence. Conclusions: A better health status prior to surgery is associated to a lower incidence of new-onset urinary incontinence after radical prostatectomy. However, no correlation was found between the most common medical disorders and the development of post-surgical urinary incontinence.

Keywords

Radical prostatectomy; Second diagnoses; Urinary incontinence

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Submitted: 2016-06-04 15:47:48
Published: 2017-03-31 00:00:00
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Copyright (c) 2017 Bárbara Padilla-Fernández, Álvaro Julio Virseda-Rodríguez, Lauro Sebastián Valverde-Martínez, Bruno Jorge Pereira, Hugo Coelho, Maria Tatiana Santos-Antunes, Manuel Montesino-Semper, Carlos Müller-Arteaga, José Luis Álvarez-Ossorio-Fernández, Filippo Migliorini, Ana Lorenzo-Gómez, María Begoña García-Cenador, Patricia Antúnez-Plaza, Juan Miguel Silva-Abuín, María Fernanda Lorenzo-Gómez

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