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[A study of urinary incontinence after prostatectomy]
Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|October 1, 1989
Summary
Post-prostatectomy incontinence affects 5.7% of patients, with higher rates after transurethral resection of the prostate (TUR-P) than retropubic prostatectomy (RPP). Early treatment is key, as persistent incontinence may require functional electrical stimulation (FES).
Area of Science:
- Urology
- Surgical Outcomes
- Patient Health
Context:
- Investigated incontinence in 470 patients undergoing prostatectomy since 1975.
- Assessed the utility of urodynamic tests for diagnosing underlying conditions.
- Analyzed data from transurethral resection of the prostate (TUR-P), retropubic prostatectomy (RPP), and cryoprostatectomy procedures.
Purpose:
- To determine the incidence and characteristics of post-prostatectomy incontinence.
- To evaluate the effectiveness of urodynamic tests in identifying pre-existing conditions.
- To assess treatment outcomes, including drug therapy and functional electrical stimulation (FES).
Summary:
- Overall incontinence incidence was 5.7%, with TUR-P at 7.1% and RPP at 3.5%; cryoprostatectomy showed no incontinence.
- Incontinence resolution within one year was linked to better pre-operative cystometrogram results; persistent cases were common.
- Functional electrical stimulation (FES) showed promise for treating refractory incontinence, with a 36.4% success rate where drug therapy failed.
Impact:
- Highlights the importance of pre-operative assessment using urodynamic tests.
- Provides data on the efficacy of different surgical approaches regarding incontinence.
- Suggests FES as a viable treatment option for persistent post-prostatectomy incontinence.