Patient-reported outcome measures signal postprostatectomy incontinence risk

  • MacKenzie MKR & al.
  • Neurourol Urodyn
  • 13 Apr 2019

  • International Clinical Digest
Access to the full content of this site is available only to registered healthcare professionals. Access to the full content of this site is available only to registered healthcare professionals.

Takeaway

  • Patient‐reported outcome measures can help identify patients at risk for urinary incontinence after robotic‐assisted radical prostatectomy (RARP), and reduce time to specialist referral for further management of lower urinary tract symptoms (LUTS).

Why this matters

  • Despite technological advances, significant numbers of men suffer from urinary incontinence after RARP.

Study design

  • Researchers studied consecutive patients undergoing RARP (N=860; median age, 66 years).
  • Patients completed the International Consultation on Incontinence Questionnaire on Male Lower Urinary Tract Symptoms (ICIQ-MLUTS) preoperatively and at 6, 12, and 18 months post-RARP.
  • Funding: None disclosed.

Key results

  • Post-RARP, 64 (7.4%) of patients were referred for specialist evaluation and urodynamics.
  • These patients had significantly higher ICIQ-MLUTS and bother scores at 6, 12, and 18 months compared with baseline (P<.001 and p respectively vs those not referred for further management.>
  • Urodynamics showed 41 referred patients (64%) had urodynamic stress incontinence only, 2 (3%) had detrusor overactivity only, and 11 (17%) had both.
  • 29 referred patients (45%) subsequently underwent a continence procedure.

Limitations

  • The study was single center with a small sample size.

Please confirm your acceptance

To gain full access to GPnotebook please confirm:

By submitting here you confirm that you have accepted Terms of Use and Privacy Policy of GPnotebook.

Submit