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Updated: Aug 9, 2026
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Impact of comorbidities on post-prostatectomy incontinence
S Wille1, A Heidenreich, R von Knobloch
1Division of Gynecology and Neurourology, University of Cologne, Cologne, Germany. sebastian.wille@uk-koeln.de
Introduction:
The aim of this retrospective study was to evaluate various factors that may influence post-prostatectomy incontinence (PPI).
Patients And Methods:
1,088 men with prostate cancer underwent radical retropubic prostatectomy. 742 patients were evaluable for analysis. Continence was defined as usage of no or one pad daily. Mean follow-up was 45 months (12-143).
Results:
Based on protective pad requirement 100% and 76% of men were continent at baseline and at the time of questionnaire evaluation (at least 12 months), respectively. Univariate analysis was performed to identify factors that may influence the return of continence. Age, body mass index (BMI), previous TUR-P, smoking, hypertension, diabetes and attempted nerve sparing did not predict postoperative continence status.
Conclusions:
In contrast to several reports, our analysis revealed that age, BMI, previous TUR-P, smoking, hypertension and diabetes do not have a statistically significant impact on continence after radical retropubic prostatectomy and are therefore not useful as predictors for PPI.
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