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


Submitted: June 4, 2016
Accepted: July 19, 2016
Published: March 31, 2017
Abstract Views: 1542
PDF: 969
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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.

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

1. Department of Urology.

2. Department of Surgery.

Padilla-Fernández, B., Virseda-Rodríguez, Álvaro J., Valverde-Martínez, L. S., Pereira, B. J., Coelho, H., Santos-Antunes, M. T., Montesino-Semper, M., Müller-Arteaga, C., Álvarez-Ossorio-Fernández, J. L., Migliorini, F., Lorenzo-Gómez, A., García-Cenador, M. B., Antúnez-Plaza, P., Silva-Abuín, J. M., & Lorenzo-Gómez, M. F. (2017). Influence of secondary diagnoses in the development of urinary incontinence after radical prostatectomy. Archivio Italiano Di Urologia E Andrologia, 89(1), 34–38. https://doi.org/10.4081/aiua.2017.1.34

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