Basic & Clinical Medicine ›› 2014, Vol. 34 ›› Issue (10): 1397-1400.

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Urinary incontinence development following laparoscopic radical prostatectomy

  

  • Received:2014-03-10 Revised:2014-05-26 Online:2014-10-05 Published:2014-09-25
  • Contact: Wei-gang YAN E-mail:ywgemailbox@sina.com

Abstract: Objective To assay the time-variations and relating factors of Stress Urinary Incontinence (SUI) after radical prostatectomy. Methods During Mar.2010 to Nov.2013, 91 cases of laparoscopic radical prostatectomy were performed by a single surgeon, followed-up over 1 year. Basic information of all cases: the age range was 51~75 years, 67 on average; PSA range before surgery was 0.1~50.8 μg/L, 10.3 μg/L on median; the Gleason score was 6~8; and TNM stage range T1c~T2c. The catheter removal undertook 2 weeks after operation, then analyzed the incontinence rate and development pattern of incontinence after surgery. Urinary continence defined as 3 below conditions: urine leakage free, little leakage without urinal pads or less than 1 pad per day. Results the follow-up visit range 1~45 months, 18 on average. In line with the 3 definitions, urinary continence rate after catheter removal were: 0%, 5% and 33%; 30%, 63% and 93% by 3 months after surgery; 76%, 98% and 100% by 12 months after surgery. Conclusion the SUI after laparoscopic radical prostatectomy is a common, however, the majority of which can improve within 3~6 months after surgery, and reach basic control within 1 year.

Key words: Prostate cancer, Radical prostatectomy, urinary incontinence