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Delayed recovery of urinary continence after laparoscopic radical prostatectomy
Author(s) -
EGAWA SHIN,
KURUMA HIDETOSHI,
SUYAMA KAZUHO,
IWAMURA MASATSUGU,
BABA SHIRO
Publication year - 2003
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1046/j.0919-8172.2003.00606.x
Subject(s) - medicine , urinary continence , prostatectomy , laparoscopic radical prostatectomy , urology , radical retropubic prostatectomy , urinary incontinence , urinary system , surgery , prostate cancer , cancer
Aim: To study the rate at which patients regained urinary continence during our institution's early experience with laparoscopic radical prostatectomy. Methods: The urinary continence of 34 patients was recorded at various intervals following laparoscopic radical prostatectomy. These data were compared with those from 49 patients who had undergone radical retropubic prostatectomy. Results: For laparoscopic prostatectomy patients, 2.9% had regained urinary continence at 1 month, 29.4% at 3 months, 46.9% at 6 months, 56.0% at 9 months and 60.0% at 12 months. For retropubic prostatectomy patients, the corresponding rates were 22.4% at 1 month, 63.3% at 3 months, 84.1% at 6 months, 92.9% at 9 months and 92.9% at 12 months. Backward stepwise logistic regression analysis indicated that laparoscopic surgery itself significantly predicted urinary incontinence at every interval from 1 to 9 months following surgery ( P < 0.05). Conclusion: Patients’ postoperative recovery of urinary continence was not satisfactory in our early experience with laparoscopic radical prostatectomy. Further efforts to elucidate the reason for this poor functional outcome are mandatory before the procedure is accepted as part of standard practice.