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Late‐onset incontinence in a cohort of radical prostatectomy patients
Author(s) -
Naselli Angelo,
Simone Giuseppe,
Papalia Rocco,
Gallucci Michele,
Introini Carlo,
Andreatta Rossana,
Puppo Paolo
Publication year - 2011
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 - 10.1111/j.1442-2042.2010.02666.x
Subject(s) - medicine , prostatectomy , incidence (geometry) , cohort , urinary incontinence , univariate analysis , urology , prostate cancer , surgery , multivariate analysis , cancer , physics , optics
A cohort of 235 subjects, who underwent radical prostatectomy from 1994 to 2002, completely continent at the 2‐year follow up and with the last follow‐up visit in 2009, was examined to assess incidence and risk factors of late‐onset incontinence. Median follow up was 100 months, range 84–176. At the last follow‐up visit, 209 (89%) maintained continence, and 26 (11%) became incontinent. Specifically 14 out of 26 (6%) used one pad and 12 (5%) used two or more pads daily. Incidence of age ≥65 years at radical prostatectomy was greater in the subgroup who developed late incontinence, 109/209 (52%) vs 19/26 (73%). Incidence of adjuvant or salvage radiotherapy, of hormonal manipulation and of extraprostatic disease was similar in the two subgroups. Univariate and multivariate analysis did not disclose any difference. Late‐onset incontinence is to be expected in about 10% of subjects who became completely continent after radical prostatectomy. The cause is likely to be related to ageing. Patients should be informed about the long‐term risk of becoming incontinent.