Prospective predictors of urinary continence after anatomical radical retropubic prostatectomy: a multivariate analysis

The aim of this work was to evaluate variables that predict time to pad-free urinary continence after anatomical radical prostatectomy (ARP). Sixty consecutive prostate cancer patients who underwent ARP by one surgeon were studied. Pad-free urinary continence was prospectively determined by patient...

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Bibliographic Details
Published in:World journal of urology 2004-08, Vol.22 (4), p.267-271
Main Author: OEFELEIN, Michael G
Format: Article
Language:English
Subjects:
Biological and medical sciences
Humans
Male
Medical sciences
Middle Aged
Multivariate Analysis
Nephrology. Urinary tract diseases
Prospective Studies
Prostatectomy - adverse effects
Urinary Incontinence - etiology
Urination
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Summary:The aim of this work was to evaluate variables that predict time to pad-free urinary continence after anatomical radical prostatectomy (ARP). Sixty consecutive prostate cancer patients who underwent ARP by one surgeon were studied. Pad-free urinary continence was prospectively determined by patient interviews and confirmed on physical examination and by the urinary domain of the Extended Prostate Inventory Composite (EPIC) Health Related Quality of Life questionnaire. A time-dependent Cox multivariate regression analysis was performed to determine which variables significantly correlated with time to pad-free urinary continence. Increasing prostate size (cc), increasing prostate urethral length (cm) and surgical technique (wide excision of the neuro-vascular bundle) correlated with a significantly (P
ISSN:0724-4983
1433-8726
DOI:10.1007/s00345-003-0388-2