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Related Experiment Videos

Continence following radical retropubic prostatectomy using self-reporting instruments.

Herbert Lepor1, Ledia Kaci, Xiaonan Xue

  • 1Department of Urology, New York University School of Medicine, Albert Einstein College of Medicine (XX), New York, New York 10016, USA. herbert.lepor@med.nyu.edu

The Journal of Urology
|February 10, 2004
PubMed
Summary

Most men regain continence after radical retropubic prostatectomy (RRP). Patient self-assessment of continence at 24 months strongly correlates with validated measures, confirming its reliability.

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Area of Science:

  • Urology
  • Oncology
  • Patient-Reported Outcomes

Background:

  • Radical retropubic prostatectomy (RRP) is a common treatment for prostate cancer.
  • Post-surgical urinary incontinence is a significant concern for patients.
  • Assessing continence accurately is crucial for patient quality of life.

Purpose of the Study:

  • To evaluate patient self-reported continence after RRP.
  • To compare global self-assessment of continence with established definitions.
  • To establish the reliability of patient self-assessment for continence outcomes.

Main Methods:

  • Cross-sectional study evaluating surveys from October 2002 to February 2003.
  • Utilized the University of California-Los Angeles Prostate Cancer Index (UCLA PCI) at 3, 6, 12, and 24 months post-RRP.

Related Experiment Videos

  • Included a single question for global self-assessment of continence status.

    • Main Results:

    • Continence improved progressively up to 24 months post-RRP.
    • At 24 months, 97.1% of men self-assessed as continent.
    • Patient global assessment showed excellent agreement (kappa 0.76-0.83) with three validated continence definitions.

    Conclusions:

    • The majority of men achieve continence after RRP without further intervention.
    • Continence status should be definitively assessed at 24 months post-surgery.
    • Patient global self-assessment is a valid and reliable measure of continence post-RRP.