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Urinary continence after radical prostatectomy: the Columbia experience
E T Goluboff1, J A Saidi, S Mazer
1Department of Urology, Squier Urologic Clinic, College of Physicians and Surgeons, Columbia University, New York, New York, USA.
The Journal of Urology
|March 21, 1998
Summary
Radical prostatectomy results in an 8.2% urinary incontinence rate. Most men regain continence within six months, and patient satisfaction remains high after this prostate cancer surgery.
Area of Science:
- Urology
- Oncology
- Surgical Outcomes
Background:
- Radical prostatectomy is a common treatment for prostate cancer.
- Urinary incontinence is a potential complication following radical prostatectomy.
- Understanding the incidence and influencing factors of incontinence is crucial for patient counseling.
Purpose of the Study:
- To determine the incidence of urinary incontinence after radical prostatectomy.
- To identify factors influencing postoperative urinary continence.
Main Methods:
- A questionnaire was mailed to 615 men who underwent radical retropubic prostatectomy.
- Data collected included preoperative/postoperative voiding habits, continence status, and need for additional procedures.
- Patient demographics and follow-up duration were also recorded.
Main Results:
- Of 480 respondents, 91.8% achieved continence (defined as no regular pad use).
- Final continence status was achieved by 92% within 6 months postoperatively.
- Age, year of surgery, and preoperative symptoms did not significantly impact postoperative continence.
Conclusions:
- The study found an 8.2% incontinence rate after radical prostatectomy.
- This rate is comparable to other large studies using similar methods.
- Radical prostatectomy is well-tolerated with high patient satisfaction when performed by experienced surgeons.