MP40-06 LONGITUDINAL INVESTIGATION ON PREDICTORS OF CONTINENCE OUTCOMES IN PATIENTS UNDERGOING ROBOT-ASSISTED RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy I1 Apr 2016MP40-06 LONGITUDINAL INVESTIGATION ON PREDICTORS OF CONTINENCE OUTCOMES IN PATIENTS UNDERGOING ROBOT-ASSISTED RADICAL PROSTATECTOMY Yuta Yamada, Tetsuya Fujimura, Hiroshi Fukuhara, Toru Sugihara, Takamasa Horiuchi, Tohru Nakagawa, Haruki Kume, and Yukio Homma Yuta YamadaYuta Yamada More articles by this author , Tetsuya FujimuraTetsuya Fujimura More articles by this author , Hiroshi FukuharaHiroshi Fukuhara More articles by this author , Toru SugiharaToru Sugihara More articles by this author , Takamasa HoriuchiTakamasa Horiuchi More articles by this author , Tohru NakagawaTohru Nakagawa More articles by this author , Haruki KumeHaruki Kume More articles by this author , and Yukio HommaYukio Homma More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.152AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Incontinence is a common complication that occurs after radical prostatectomy. Various factors are reported to be associated with the recovery of continence after surgery. However, there are few reports regarding longitudinal data. Herein, we investigated predictors of continence outcomes at 3, 6, and 12 months after robot assisted radical prostatectomy. METHODS Clinical records of 243 patients who underwent robot assisted radical prostatectomy (RARP) were investigated. Self reported questionnaires as well as clinico-pathological factors were investigated, and relationship between factors and recovery of continence were assessed at 3, 6, and 12 months after RARP. RESULTS Age (< 67 years) and presence of overactive bladder (OAB) related symptoms were significantly associated with recovery of continence at 3 months after robot-assisted radical prostatectomy (RARP) (p = 0.024 and p = 0.032). At 6 months after RARP, age (< 67 years), presence of OAB related symptoms, and prostate weight (< 40) were significantly associated with recovery of continence (p = 0.015, p = 0.025, and p = 0.046, respectively). At 12 months, presence of OAB related symptoms was the only factor associated with recovery of continence (p = 0.0006). Presence of OAB related symptoms in Kaplan-Meier curves was statistically significant for predicting continence after RARP (p = 0.039). Multitiple logistic regression model for recovery of continence showed statistical significance in age (= 66 years) at 3 and 6 months after surgery (p = 0.047 and p = 0.049, respectively), prostate weight (< 40g) at 3 months, and presence of OAB related symptoms at 12 months (p = 0.017). CONCLUSIONS Present findings suggested that the most powerful predictors of recovery of continence differ at each period after RARP. Age was a significant predictor at 3 and 6 months, and presence of OAB related symptoms at 12 months. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e552 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Yuta Yamada More articles by this author Tetsuya Fujimura More articles by this author Hiroshi Fukuhara More articles by this author Toru Sugihara More articles by this author Takamasa Horiuchi More articles by this author Tohru Nakagawa More articles by this author Haruki Kume More articles by this author Yukio Homma More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...