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[A clinical evaluation on postprostatectomy incontinence].

O Ukimura1, S Hosoi, H Itoh

  • 1Department of Urology, Kyoto Prefectural University of Medicine.

Hinyokika Kiyo. Acta Urologica Japonica
|June 1, 1992
PubMed
Summary

Post-prostatectomy incontinence occurred more frequently after transurethral resection of the prostate (TURP) than retropubic prostatectomy (RPP). Advanced age, small bladder capacity, and high urgency degree are risk factors for persistent incontinence.

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Area of Science:

  • Urology
  • Surgical Outcomes
  • Incontinence Research

Context:

  • Postprostatectomy incontinence is a common complication following prostate surgery.
  • Understanding risk factors is crucial for patient counseling and management.
  • Previous studies have explored various factors contributing to this condition.

Purpose:

  • To evaluate the occurrence and characteristics of postprostatectomy incontinence.
  • To identify risk factors associated with postprostatectomy incontinence.
  • To differentiate between stress and urgency incontinence post-surgery.

Summary:

  • This study analyzed 193 patients undergoing retropubic prostatectomy (RPP) or transurethral resection of the prostate (TURP).
  • Incontinence rates were 17.2% for RPP and 33.3% for TURP.

Related Experiment Videos

  • Advanced age, reduced bladder capacity, and a high urgency degree (ratio of first to maximum desire to void >70%) were identified as significant risk factors for urgency incontinence.

    • Impact:

    • Findings highlight higher incontinence rates with TURP compared to RPP.
    • Identifies specific pre-operative cystometric parameters (bladder capacity, urgency degree) predictive of urgency incontinence.
    • Suggests advanced age as a general risk factor for postprostatectomy incontinence.