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

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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
(*) Corresponding Author:
Bárbara Padilla-Fernández | padillaf83@hotmail.com

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.

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