Association between Preoperative Lower Urinary Tract Symptoms and Continence Return after Radical Prostatectomy
Date Issued
2007
Date
2007
Author(s)
Lai, Allen Yu-Hung
DOI
en-US
Abstract
Objectives: We investigated the association between preoperative lower urinary tract symptoms (frequency, urgency, nocturia, straining, slow stream, intermittency, incomplete emptying) and continence return after radical prostatectomy (RP) and identified risk factors associated with delay return of continence after RP.
Material and Methods: The present study included 103 patients who underwent radical prostatectomy between January 2000 to December 2006 in National Taiwan Univeristy Hospital. Data of lower urinary tract symptoms were retrieved from the medical chart. In our study, continence was defined as use of no pad daily or successful control of voiding. The time from removal of urethral catheter to urinary continence achieved was determined by chart review in these patients. Continence was evaluated by a patient interview 3, 6, 9 and 12 months after RP. Using univariate, multivariate, survival analysis and proportional odds model, we retrospectively examined risk factors associated with continence return in these patients.
Results: There were no significant differences in clinicopathological characteristics between patients with and without preoperative lower urinary tract symptoms. The percentage of urinary continent patients at 3, 6, 9 and 12 months was 25.2%, 46.6%, 57.3% and 70.9%, respectively and there was a significant difference of continence return between patients with and without storage symptoms at 3 months (p = 0.007) and 6 months (p = 0.02) after RP. Presence of preoperative storage symptoms are associated with degree of continence return (p = 0.04). Frequency was significantly associated with continence return after RP (p = 0.02). Among several factors examined, presence of preoperative storage symptoms was an independent risk factor that delayed recovery from urinary incontinence 3 and 6 months after RP.
Conclusions: These findings suggest that it would be important for the prostate cancer patients with preoperative storage symptoms that a delay restoration of continence would be expected after radical prostatectomy.
Subjects
攝護腺癌
攝護腺根除術
禁尿回復
尿失禁
下尿路症狀
prostate cancer
radical prostatectomy
continence return
incontinence
lower urinary tract symptoms
SDGs
Type
thesis
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