PURPOSE: To investigate the factors that predict recovery of continence within 3 months following robot-assisted radical prostatectomy (RARP).
PATIENTS & METHODS: The charts of 452 patients who underwent RARP with a minimum follow-up period of 3 months were collected prospectively and reviewed retrospectively. Urinary continence was determined using the self-administered validated Expanded Prostate Cancer Index Composite questionnaire during the routine followup visits.
RESULTS: The overall continence rate 3 months after RARP was 79.9%. In univariate logistic regression test, age < 70, higher pre-operative sexual health inventory for men (SHIM) score, lower clinical T1 stage, lower biopsy and pathologic Gleason score, shorter operative time, lower estimated blood loss, smaller prostate volume (<40 cc) were associated with recovery of urinary continence within 3 months following RARP (p<0.05). In multivariate logistic regression analysis, younger age, higher SHIM score, lower clinical T1 stage, lower BMI, and smaller prostate volume were independent factors that predicted return of continence within in 3 months after RARP (p<0.05).
CONCLUSIONS: Younger age (<70), higher pre-operative SHIM score, clinical T1 stage, lower BMI, and smaller prostate volume (<40 cc) independently predicted recovery of continence within 3 months following RARP.
Written by:
Kim JJ, Ha YS, Kim JH, Jeon SS, Lee DH, Kim WJ, Kim IY Are you the author?
Samsung Medical Center, Urology, Seoul, Korea, Republic of;
Reference: J Endourol. 2012 May 31
doi: 10.1089/end.2012.0117.
PubMed Abstract
PMID: 22651546