[Urinary incontinence after radical prostatectomy for prostate cancer-data from 17,149 patients from 125 certified centers].
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BORIS DOI
Date of Publication
January 2024
Publication Type
Article
Division/Institute
Author
Kowalski, Christoph | |
Sibert, Nora Tabea | |
Hammerer, Peter | |
Wesselmann, Simone | |
Feick, Günter | |
Carl, Ernst-Günther | |
Klotz, Theodor | |
Apel, Hendrik | |
Dieng, Sebastian | |
Nyarangi-Dix, Joanne | |
Knoll, Thomas | |
Reike, Moritz Johannes | |
Duwe, Gregor | |
Bartolf, Elisabeth | |
Steiner, Thomas | |
Borowitz, Rainer | |
Lümmen, Gerd | |
Seitz, Anna Katharina | |
Pfitzenmaier, Jesco | |
Aziz, Atiqullah | |
Brock, Marko | |
Berger, Frank Peter | |
Kaftan, Björn Theodor | |
Grube, Christian | |
Häfner, Tim | |
Hamza, Amir | |
Schmelz, Hans | |
Haas, Jürgen | |
Lenart, Sebastian | |
Sippel, Carsten | |
Winter, Alexander | |
Kedia, George | |
Hadaschik, Boris | |
Varga, Zoltan | |
Buse, Stephan | |
Richter, Matthias | |
Distler, Florian | |
Simon, Jörg | |
Wiegel, Thomas | |
Baltes, Stefan | |
Janitzky, Andreas | |
Sommer, Jens Peter | |
Hijazi, Sameh | |
Fülkell, Philipp | |
Harke, Nina N | |
Bolenz, Christian | |
Khalil, Christian | |
Breidenbach, Clara | |
Tennstedt, Pierre | |
Burchardt, Martin |
Subject(s)
Series
Die Urologie
ISSN or ISBN (if monograph)
2731-7072
Publisher
Springer
Language
German
Publisher DOI
PubMed ID
37747493
Uncontrolled Keywords
Description
BACKGROUND
In addition to erectile dysfunction, urinary incontinence is the most common functional limitation after radical prostatectomy (RPE) for prostate cancer (PCa). The German S3 guideline recommends informing patients about possible effects of the therapy options, including incontinence. However, only little data on continence from routine care in German-speaking countries after RPE are currently available, which makes it difficult to inform patients.
OBJECTIVE
The aim of this work is to present data on the frequency and severity of urinary incontinence after RPE from routine care.
MATERIALS AND METHODS
Information from the PCO (Prostate Cancer Outcomes) study is used, which was collected between 2016 and 2022 in 125 German Cancer Society (DKG)-certified prostate cancer centers in 17,149 patients using the Expanded Prostate Cancer Index Composite Short Form (EPIC-26). Changes in the "incontinence" score before (T0) and 12 months after RPE (T1) and the proportion of patients who used pads, stratified by age and risk group, are reported.
RESULTS
The average score for urinary incontinence (value range: 0-worst possible to 100-best possible) was 93 points at T0 and 73 points 12 months later. At T0, 97% of the patients did not use a pad, compared to 56% at T1. 43% of the patients who did not use a pad before surgery used at least one pad a day 12 months later, while 13% use two or more. The proportion of patients using pads differs by age and risk classification.
CONCLUSION
The results provide a comprehensive insight into functional outcome 12 months after RPE and can be taken into account when informing patients.
In addition to erectile dysfunction, urinary incontinence is the most common functional limitation after radical prostatectomy (RPE) for prostate cancer (PCa). The German S3 guideline recommends informing patients about possible effects of the therapy options, including incontinence. However, only little data on continence from routine care in German-speaking countries after RPE are currently available, which makes it difficult to inform patients.
OBJECTIVE
The aim of this work is to present data on the frequency and severity of urinary incontinence after RPE from routine care.
MATERIALS AND METHODS
Information from the PCO (Prostate Cancer Outcomes) study is used, which was collected between 2016 and 2022 in 125 German Cancer Society (DKG)-certified prostate cancer centers in 17,149 patients using the Expanded Prostate Cancer Index Composite Short Form (EPIC-26). Changes in the "incontinence" score before (T0) and 12 months after RPE (T1) and the proportion of patients who used pads, stratified by age and risk group, are reported.
RESULTS
The average score for urinary incontinence (value range: 0-worst possible to 100-best possible) was 93 points at T0 and 73 points 12 months later. At T0, 97% of the patients did not use a pad, compared to 56% at T1. 43% of the patients who did not use a pad before surgery used at least one pad a day 12 months later, while 13% use two or more. The proportion of patients using pads differs by age and risk classification.
CONCLUSION
The results provide a comprehensive insight into functional outcome 12 months after RPE and can be taken into account when informing patients.