Influence of secondary diagnoses in the development of urinary incontinence after radical prostatectomy

[EN] Objective: To study whether there are factors related to secondary diagnoses (SDg) present in patients with prostate cancer that influence the development of urinary incontinence after radical prostatectomy (RP). Materials and methods: A retrospective multicenter observational study was perform...

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Detalhes bibliográficos
Autores: Padilla Fernández, Bárbara Yolanda, Virseda-Rodríguez, Álvaro Julio, Valverde Martínez, Lauro Sebastián, Pereira, Bruno Jorge, Coelho, Hugo, Santos-Antunes, Maria Tatiana, Montesino-Semper, Manuel, Müller Arteaga, Carlos Andrés, Álvarez-Ossorio-Fernández, José Luis, Migliorini, Filippo, Lorenzo-Gómez, Ana, García Cenador, María Begoña, Antúnez Plaza, Patricia, Silva Abuín, Juan Miguel, Lorenzo Gómez, María Fernanda
Formato: artículo
Estado:Versión enviada para evaluación y publicación
Fecha de publicación:2017
País:España
Recursos:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/140758
Acesso em linha:http://hdl.handle.net/10366/140758
Access Level:acceso abierto
Palavra-chave:Radical prostatectomy
Second diagnoses
Urinary incontinence
Urologic Surgical Procedures, Male
Urology
3213.16 Urología
procedimientos quirúrgicos urológicos masculinos
urología
Descrição
Resumo:[EN] Objective: To study whether there are factors related to secondary diagnoses (SDg) present in patients with prostate cancer that influence the development of urinary incontinence after radical prostatectomy (RP). Materials and methods: A retrospective multicenter observational study was performed reviewing the medical records of 430 men who underwent RP due to organ-confined prostate cancer in 9 different hospitals. Two study groups were distinguished: Group A (GA): Patients without urinary incontinence after RP; Group B (GB): patients with any degree of post-surgical urinary incontinence. Results: Average age at surgery was 63.42 years (range 45-73). 258 patients were continent after surgery and 172 patients complaint of any degree of incontinence after RP. A higher percentage of healthy patients was found in group A (continent after surgery) than in group B (p = 0.001). The most common SDg prior to surgery were hypertension, lower urinary tract symptoms, dyslipidemia, diabetes mellitus and erectile dysfunction, but none did show a greater trend towards post-surgical incontinence. Conclusions: A better health status prior to surgery is associated to a lower incidence of new-onset urinary incontinence after radical prostatectomy. However, no correlation was found between the most common medical disorders and the development of post-surgical urinary incontinence.

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