MP46-20 “RISK FACTORS” FOR IMMEDIATE CONTINENCE AFTER RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyProstate Cancer: Localized IV1 Apr 2014MP46-20 “RISK FACTORS” FOR IMMEDIATE CONTINENCE AFTER RADICAL PROSTATECTOMY Gencay Hatiboglu, Joanne Nyarangi-Dix, Sascha Pahernik, Dogu Teber, Boris Hadaschik, and Markus Hohenfellner Gencay HatibogluGencay Hatiboglu More articles by this author , Joanne Nyarangi-DixJoanne Nyarangi-Dix More articles by this author , Sascha PahernikSascha Pahernik More articles by this author , Dogu TeberDogu Teber More articles by this author , Boris HadaschikBoris Hadaschik More articles by this author , and Markus HohenfellnerMarkus Hohenfellner More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.1453AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail Introduction and Objectives Zero pad usage after catheter removal in patients undergoing radical prostatectomy is the desirable outcome after surgical treatment of prostate cancer. The aim of this study was to identify pre- and perioperative parameters, that can predict immediate continence and to compare if there is difference between robotic and retropubic surgery. Methods Between 01/2005 and 08/2013, 1553 patients undergoing radical prostatectomy at a single institution (670 retropubic, 883 daVinci) with complete pre- and perioperative data and postoperative follow-up were evaluated for postoperative urinary continence prospectively by patient interview. Immediate continence was defined as zero pad usage. Univariate and multivariate analyses were done by logistic regression to evaluate prognostic factors predicting immediate continence. Evaluated parameters were: age, body mass index, ECOG performance status, IIEF score, prostate volume, preoperative PSA, Gleason Score and clinical stage, dámico risk stratification, type of radical prostatectomy, performing surgeon, type of nervesparing, type of lymphadenectomy, no of resected lymphnodes, blood transfusions, tumor stage and gleason score in prostatectomy specimen, catheter dwell time. Results In all, 15.5% (n=240) patients never required a pad postoperative. Correlation of parameters to immediate continence revealed significance for age (p<0.01), ECOG (p=0.03), IIEF score (p<0.01), type of nervesparing (p=0.02), postoperative Gleason Score (p<0.01) and performing surgeon (p<0.01). Multivariate analyses for independent prognostic parameters showed IIEF Score >21 (p=0.04), both sided nervesparing procedure (p=0.02), Gleason Score ≤ 7a in prostatectomy specimen (p=0.04) and performing surgeon (p=0.02) as the only parameters predicting zero pad usage after radical prostatectomy. Type of surgery (daVinci vs. open) had no predictive value in univariate or multivariate analyses (p=0.556). Conclusions Evaluating continence after radical prostatectomy in a large cohort of 1553 patients revealed 15.5% of patients never requiring a pad after catheter removal. Predictive parameters for immediate continence were patient's preoperative erectile function, both sided intraoperative nervesparing and Gleason Score in prostatectomy specimen. Furthermore, this study showed, that it is not the robot but the surgeon that has an impact on immediate postoperative continence. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e518 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Gencay Hatiboglu More articles by this author Joanne Nyarangi-Dix More articles by this author Sascha Pahernik More articles by this author Dogu Teber More articles by this author Boris Hadaschik More articles by this author Markus Hohenfellner More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...