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

  • Bárbara Padilla-Fernández | padillaf83@hotmail.com Department of Urology, University Hospital of the Canary Islands, Tenerife, Spain. http://orcid.org/0000-0002-8566-6033
  • 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.

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Author Biographies

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.

Published
2017-03-31
Info
Issue
Section
Original Papers - Prostate
Keywords:
Radical prostatectomy, Second diagnoses, Urinary incontinence
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How to Cite
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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