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Related Experiment Video

Updated: Dec 26, 2025

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Comparison between laparoscopic and open prostatectomy: Postoperative urinary continence analysis.

E Martínez-Holguín1, F Herranz-Amo1, E Lledó-García1

  • 1Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Actas Urologicas Espanolas
|March 11, 2020
PubMed
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Open radical prostatectomy (ORP) showed better urinary continence (UC) than laparoscopic radical prostatectomy (LRP) at 24 months post-surgery. Factors like non-nerve sparing surgery and salvage radiotherapy increased urinary incontinence (UI) risk.

Area of Science:

  • Urology
  • Surgical Oncology
  • Oncologic Outcomes

Background:

  • Urinary continence (UC) is a critical functional outcome after radical prostatectomy for localized prostatic adenocarcinoma.
  • Limited comparative studies exist on UC following open radical prostatectomy (ORP) versus laparoscopic radical prostatectomy (LRP).

Purpose of the Study:

  • To compare postoperative urinary continence (UC) rates between patients undergoing ORP and LRP for localized prostatic adenocarcinoma.

Main Methods:

  • A comparative study of 312 ORP patients and 206 LRP patients (2007-2015).
  • Urinary continence (UC) was assessed at 3, 6, 12, 18, and 24 months post-surgery, defining continence as no pad use.
  • Statistical analysis included chi-squared tests, ANOVA, and multivariate logistic regression.
Keywords:
Cirugía laparoscópicaCáncer de próstataIncontinencia urinariaLaparoscopic surgeryProstate cancerProstatectomyProstatectomíaUrinary incontinence

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Main Results:

  • At 24 months, 72.4% of patients achieved UC, with higher rates in the ORP group (87.7%) compared to the LRP group (78.1%) (P=.004).
  • Biochemical recurrence (BR) occurred in 22.7% of patients, with those receiving salvage radiotherapy (SRT) showing increased urinary incontinence (UI) (P=.036).
  • ORP patients experienced a higher incidence of anastomosis stricture (P=.03).

Conclusions:

  • Laparoscopic radical prostatectomy (LRP), non-nerve sparing procedures, and salvage radiotherapy (SRT) were significantly associated with postoperative urinary incontinence (UI).
  • Open radical prostatectomy (ORP) demonstrated superior urinary continence outcomes at 24 months compared to LRP.