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Updated: Feb 11, 2026
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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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[Incidence of incontinence after radical prostatectomy using claims-based data]
M H J Schepens1, C M P Ziedses des Plantes, D M Somford
1Zorgverzekeraars Nederland, Zeist.
Nederlands Tijdschrift Voor Geneeskunde
|April 21, 2018
Summary
Higher hospital volume for radical prostatectomy (RP) reduces the likelihood of post-operative incontinence. This study found fewer incontinence claims in high-volume centers, suggesting improved patient outcomes with experienced surgical teams.
Area of Science:
- Urology
- Surgical Outcomes Research
- Health Services Research
Background:
- Radical prostatectomy (RP) is a common treatment for prostate cancer.
- Post-operative incontinence is a significant complication affecting quality of life.
- Understanding factors influencing incontinence rates is crucial for patient care.
Purpose of the Study:
- To investigate the association between radical prostatectomy (RP) hospital volume and the incidence of post-operative incontinence.
- To determine if higher surgical volumes correlate with better incontinence outcomes.
Main Methods:
- Retrospective analysis of health insurance claims data.
- Incontinence defined by claims for one or more incontinence pads daily.
- Casemix adjustments made for age, lymph node dissection, and radiotherapy.
Main Results:
- 1590 patients undergoing RP were analyzed.
- 26.0% of patients experienced incontinence.
- Hospitals performing >100 RP procedures annually had significantly lower incontinence rates compared to lower-volume hospitals.
Conclusions:
- Increased radical prostatectomy (RP) hospital volume is associated with a decreased probability of post-operative incontinence.
- The observed relationship between volume and outcomes was largely independent of included casemix factors.
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