Predictors of Early Continence after Robot-assisted Radical Prostatectomy

Low Urin Tract Symptoms. 2018 Sep;10(3):287-291. doi: 10.1111/luts.12181. Epub 2017 Jul 11.

Abstract

Objective: Our objective was to investigate predictors of early continence outcome after robot-assisted radical prostatectomy (RARP).

Methods: Clinical records were prospectively collected in 272 patients who underwent RARP. Clinical parameters, continence rates, and time to achieve continence were investigated and analyzed. Recovery of continence was defined as achieving complete continence (pad-free).

Results: In the univariate analysis, young age (≤67 years) and low pT stage (≤pT2) were significantly associated with continence achieved within 2 weeks after RARP (P = 0.0343 and P = 0.0406, respectively). Low prostate weight was the only factor associated with recovery of continence within 1 month (P = 0.0461). Multivariate analysis revealed that young age (≤67 years) and low pT stage (≤pT2) were statistically significant predictors of continence within 2 weeks after RARP (P = 0.040 and P = 0.015, respectively).

Conclusion: Young age and low pT stage were independent predictors of early continence.

Keywords: early continence; incontinence; robot-assisted radical prostatectomy.

MeSH terms

  • Age Factors
  • Aged
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Organ Size
  • Prostate / pathology*
  • Prostatectomy / adverse effects*
  • Prostatic Neoplasms / pathology*
  • Prostatic Neoplasms / surgery*
  • Protective Factors
  • Recovery of Function*
  • Robotic Surgical Procedures
  • Time Factors
  • Urinary Incontinence / etiology*
  • Urinary Incontinence / physiopathology