1754 DOES AGE INFLUENCE THE DEVELOPMENT OF URINARY INCONTINENCE IN PATIENTS WHO ARE CONTINENT FOLLOWING TOTAL PROSTATECTOMY?

Abstract

You have accessJournal of UrologyProstate Cancer: Localized VII1 Apr 20101754 DOES AGE INFLUENCE THE DEVELOPMENT OF URINARY INCONTINENCE IN PATIENTS WHO ARE CONTINENT FOLLOWING TOTAL PROSTATECTOMY? Mark Soloway, Devendar Katkoori, Cynthia Soloway, and Murugesan Manoharan Mark SolowayMark Soloway More articles by this author , Devendar KatkooriDevendar Katkoori More articles by this author , Cynthia SolowayCynthia Soloway More articles by this author , and Murugesan ManoharanMurugesan Manoharan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1603AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Among the complications following a total prostatectomy (TP), urinary incontinence is perhaps the one that has the greatest influence on quality of life. In population based studies age is a risk factor for developing urinary incontinence (UI), with nearly 10% of men over the age of 75 yrs among the general population being incontinent. In this study we analyzed whether patients who are continent following TP develop UI over time and assess if age plays a role. To the best of our knowledge there are no published reports addressing this issue METHODS 1998 TP were performed by a single surgeon between 1992 and 2008. We performed a retrospective analysis of all the patients > who were continent following TP and had followup more than five years. To assess the influence of age, two groups were defined according to age at surgery (<70 and ≥70yr). The groups were compared for the proportion of incontinent patients and long term continence rates (using Kaplan Meier method). The patient was considered continent if he was not wearing a pad. Those who use one or more pads were considered incontinent. Patients were followed at 6 weeks, 3 months and every 6 months thereafter. Continence was evaluated at each followup by the surgeon or by an annual questionnaire if the patient did not return for follow-up. RESULTS 538 patients met the inclusion criteria. In the entire cohort, 18 patients developed UI. 17 of them used a single pad and one patient required three pads/day. 482 patients were <70 yr at TP and 3.3% (16/482) developed incontinence. 56 patients were ≥70 at TP and 3.6% (2/56)developed incontinence (p=1.0). No significant difference was noted in KM longterm continence rates between the groups (Log rank P=0.95) (Figure1). CONCLUSIONS Once continence is attained following TP very few patients develop incontinence. Patients over 70 yr old who undergo a TP are as likely to remain continent as are younger men (<70 yrs). Miami, FL© 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e678 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mark Soloway More articles by this author Devendar Katkoori More articles by this author Cynthia Soloway More articles by this author Murugesan Manoharan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...