MP50-08 HOW DID THE VARIABILITY IN THE DEFINITIONS OF POST-PROSTATECTOMY CONTINENCE AFFECT THE CONTINENCE OUTCOMES IN A CONTEMPORARY SERIES OF 1000 RARPS?

Abstract

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy III (MP50)1 Sep 2021MP50-08 HOW DID THE VARIABILITY IN THE DEFINITIONS OF POST-PROSTATECTOMY CONTINENCE AFFECT THE CONTINENCE OUTCOMES IN A CONTEMPORARY SERIES OF 1000 RARPS? Mahmoud Abuelnaga, Rasha Gendy, Mark Yao, Curtis Phelan, Julie Pain, Sashi Kommu, and Ben Eddy Mahmoud AbuelnagaMahmoud Abuelnaga More articles by this author , Rasha GendyRasha Gendy More articles by this author , Mark YaoMark Yao More articles by this author , Curtis PhelanCurtis Phelan More articles by this author , Julie PainJulie Pain More articles by this author , Sashi KommuSashi Kommu More articles by this author , and Ben EddyBen Eddy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002076.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The prevalence of continence after prostatectomy varies noticeably, with a reported range of 13% to 97.5%, depending on the definition of continence considered. Nine definitions of post-prostatectomy continence have been identified in the literature. Herein, we report on the continence rates using 6 different definitions of post-prostatectomy continence. METHODS: A prospectively maintained database of men undergoing RARP by a single surgeon in a regional cancer center between 2003 and 2019 was retrospectively analyzed. All men completed ICIQ-UI-SF questionnaire and a question on pad usage at baseline, 6 weeks, 3, 6, 12, 18, 24 months after RP. Six different definitions were applied including ICIQ score 0, ICIQ score <5, ICIQ score improvement or return to baseline, 0 Pad use, 0 or safety pad use and 0 or 1 pad use. RESULTS: Of the 1000 men included in the study, 76.6% reported pre-operative ICIQ-UI-SF score of 0. When continence is defined as "0 or 1 pad use", continence rate at 24 months was found to be 98%, however, when “ICIQ-UI-SF score 0” definition was applied, it dropped to 58.6%. Continence rates varied between 11.9%-68%, 23.7-86%, 35.6%-95%, 45.8%-97%, 55%-97% and 58.6%-98% at 6 weeks, 3, 6, 12, 18 and 24 months respectively depending on whether the most strict or most inclusive definition was applied. CONCLUSIONS: The post prostatectomy continence definition applied may have a significant impact on the reported outcome. The findings of this study underpins the importance to standardize the definition of post-prostatectomy continence to ensure the balance among reliability of reporting. Source of Funding: NA © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e888-e889 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mahmoud Abuelnaga More articles by this author Rasha Gendy More articles by this author Mark Yao More articles by this author Curtis Phelan More articles by this author Julie Pain More articles by this author Sashi Kommu More articles by this author Ben Eddy More articles by this author Expand All Advertisement Loading ...