Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy

To determine the correlation between urine loss in PAD-test after catheter removal, and early urinary continence (UC) in RP treated patients. Urine loss was measured by using a standardized, validated PAD-test within 24 h after removal of the transurethral catheter, and was grouped as a loss of 50 g...

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Bibliographic Details
Published in:Current oncology (Toronto) 2021-11, Vol.28 (6), p.4738-4747
Main Authors: Hoeh, Benedikt, Preisser, Felix, Wenzel, Mike, Humke, Clara, Wittler, Clarissa, Hohenhorst, Jan L, Volckmann-Wilde, Maja, Köllermann, Jens, Steuber, Thomas, Graefen, Markus, Tilki, Derya, Karakiewicz, Pierre I, Becker, Andreas, Kluth, Luis A, Chun, Felix K H, Mandel, Philipp
Format: Article
Language:English
Subjects:
Catheters
functional outcome
Humans
incontinence
Male
pad-test
Prostate - pathology
Prostatectomy - adverse effects
Prostatectomy - methods
Prostatic Neoplasms - pathology
Prostatic Neoplasms - surgery
radical prostatectomy
Retrospective Studies
urinary incontinence
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Summary:To determine the correlation between urine loss in PAD-test after catheter removal, and early urinary continence (UC) in RP treated patients. Urine loss was measured by using a standardized, validated PAD-test within 24 h after removal of the transurethral catheter, and was grouped as a loss of 50 g of urine, respectively. Early UC (median: 3 months) was defined as the usage of no or one safety-pad. Uni- and multivariable logistic regression models tested the correlation between PAD-test results and early UC. Covariates consisted of age, BMI, nerve-sparing approach, prostate volume, and extraprostatic extension of tumor. From 01/2018 to 03/2021, 100 patients undergoing RP with data available for a PAD-test and early UC were retrospectively identified. Ultimately, 24%, 47%, 15%, and 14% of patients had a loss of urine 50 g in PAD-test, respectively. Additionally, 59% of patients reported to be continent. In multivariable logistic regression models, urine loss in PAD-test predicted early UC (OR: 0.21 vs. 0.09 vs. 0.03; for urine loss 1-10 g vs. 11-50 g vs. >50 g, Ref:
ISSN:1718-7729
1198-0052
1718-7729
DOI:10.3390/curroncol28060399