Age at surgery, educational level and long‐term urinary incontinence after radical prostatectomy

• DOI: 10.1111/j.1464-410x.2011.10231.x
• Publication Date: 2011-05-19T15:27:40Z
• Authors: Andreas E. Nilsson; Martin C. Schumacher; Eva Johansson; Stefan Carlsson; Johan Stranne; Tommy Nyberg; N. Peter Wiklund; Gunnar Steineck
• Keywords: Urinary Leakage; Urinary continence

Study Type – Harm (case series) Level of Evidence 4 What’s known on the subject? and What does study add? Several factors, including age, body mass index (BMI), prostate size previous transurethral resection prostate, have been suggested to play a part in determining risk urinary incontinence after radical prostatectomy. Results relating importance each factor conflicting, so we need more data be able identify relevant factors. In this consecutive series, with information from 1179 patients who had undergone prostatectomy, age at time surgery, educational level, respiratory disease salvage radiation therapy predicted occurrence long‐term incontinence. Increasing an exponential manner, indicate correlation across all levels. There was no certain association between increased BMI or OBJECTIVE • To predictors for leakage PATIENTS AND METHODS A series 1411 underwent prostatectomy (open surgery robot‐assisted laparoscopic surgery) Karolinska University Hospital 2002 2006 were invited complete study‐specific questionnaire. Urinary defined as use two pads per day. RESULTS Questionnaires received 1288 (91%) median follow‐up 2.2 years. Age predicts manner estimated relative increase 6% year. Among oldest patients, 19% compared youngest group, translating prevalence ratio 2.4 (95% confidence interval [CI], 1.5–8.1). Low high, yielded age‐adjusted 2.5 CI, 1.7–3.9). Patients (2.5; 95% 1.6–3.8), did those (2.4; 1.3–4.4). Body index, weight, presence diabetes not appear influence CONCLUSIONS patient’s influenced, his Other are low disease. Intervention studies needed understand if these is postponed active monitoring programme.