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Urinary bladder hypertrophy and overactive bladder determine urinary continence after radical prostatectomy.
Kajetan Juszczak1,2, Adam Ostrowski2, Jan Adamowicz2
1Department of Urology, Ludwik Rydygier Memorial Specialized Hospital, Kraków, Poland.
Summary
Preoperative overactive bladder (OAB) significantly worsens urinary incontinence (UI) after radical prostatectomy (RP). Patients with OAB experience more severe UI, with limited restoration of pre-surgery continence.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Urinary incontinence (UI) and reduced quality of life are common after radical prostatectomy (RP).
- Clinical and biological factors can exacerbate post-RP UI.
Purpose of the Study:
- To evaluate the impact of urinary bladder hypertrophy and overactive bladder (OAB) on UI following RP.
- To assess the relationship between preoperative OAB and postoperative urinary continence.
Main Methods:
- Seventy patients undergoing RP were divided into groups with and without OAB.
- Preoperative assessments included IPSS, OAB symptom questionnaires, ultrasonography, and uroflowmetry.
- Postoperative follow-up occurred at 1, 3, 6, 9, and 12 months to evaluate continence.
Main Results:
- Patients with OAB exhibited urinary bladder hypertrophy and reduced bladder capacity.
- Preoperative OAB correlated with more severe UI, indicated by higher ICIQ-UI-SF scores and pad usage.
- Urinary continence gradually improved post-RP, but urgency contributed to leakage episodes.
Conclusions:
- Preoperative OAB is a significant risk factor for severe post-RP UI.
- The restoration of urinary continence after RP is limited in patients with preoperative OAB.
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