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Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy

Aim and Objectives: We aimed to test the impact of age on long-term urinary continence (≥12 months) in patients undergoing robotic-assisted radical prostatectomy. Methods and Materials: We relied on an institutional tertiary-care database to identify the patients who underwent robotic-assisted radic...

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Autores principales: Cano Garcia, Cristina, Wenzel, Mike, Humke, Clara, Wittler, Clarissa, Dislich, Julius, Incesu, Reha-Baris, Köllermann, Jens, Steuber, Thomas, Graefen, Markus, Tilki, Derya, Karakiewicz, Pierre I., Kluth, Luis A., Preisser, Felix, Chun, Felix K. H., Mandel, Philipp, Hoeh, Benedikt
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10305537/
https://www.ncbi.nlm.nih.gov/pubmed/37374357
http://dx.doi.org/10.3390/medicina59061153
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author Cano Garcia, Cristina
Wenzel, Mike
Humke, Clara
Wittler, Clarissa
Dislich, Julius
Incesu, Reha-Baris
Köllermann, Jens
Steuber, Thomas
Graefen, Markus
Tilki, Derya
Karakiewicz, Pierre I.
Kluth, Luis A.
Preisser, Felix
Chun, Felix K. H.
Mandel, Philipp
Hoeh, Benedikt
author_facet Cano Garcia, Cristina
Wenzel, Mike
Humke, Clara
Wittler, Clarissa
Dislich, Julius
Incesu, Reha-Baris
Köllermann, Jens
Steuber, Thomas
Graefen, Markus
Tilki, Derya
Karakiewicz, Pierre I.
Kluth, Luis A.
Preisser, Felix
Chun, Felix K. H.
Mandel, Philipp
Hoeh, Benedikt
author_sort Cano Garcia, Cristina
collection PubMed
description Aim and Objectives: We aimed to test the impact of age on long-term urinary continence (≥12 months) in patients undergoing robotic-assisted radical prostatectomy. Methods and Materials: We relied on an institutional tertiary-care database to identify the patients who underwent robotic-assisted radical prostatectomy between January 2014 and January 2021. Patients were divided into three age groups: age group one (≤60 years), age group two (61–69 years) and age group three (≥70 years). Multivariable logistic regression models tested the differences between the age groups in the analyses addressing long-term urinary continence after robotic-assisted radical prostatectomy. Results: Of the 201 prostate cancer patients treated with robotic-assisted radical prostatectomy, 49 (24%) were assigned to age group one (≤60 years), 93 (46%) to age group two (61–69 years) and 59 (29%) to age group three (≥70 years). The three age groups differed according to long-term urinary continence: 90% vs. 84% vs. 69% for, respectively, age group one vs. two vs. three (p = 0.018). In the multivariable logistic regression, age group one (Odds Ratio (OR) 4.73, 95% CI 1.44–18.65, p = 0.015) and 2 (OR 2.94; 95% CI 1.23–7.29; p = 0.017) were independent predictors for urinary continence, compared to age group three. Conclusion: Younger age, especially ≤60 years, was associated with better urinary continence after robotic-assisted radical prostatectomy. This observation is important at the point of patient education and should be discussed in informed consent.
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spelling pubmed-103055372023-06-29 Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy Cano Garcia, Cristina Wenzel, Mike Humke, Clara Wittler, Clarissa Dislich, Julius Incesu, Reha-Baris Köllermann, Jens Steuber, Thomas Graefen, Markus Tilki, Derya Karakiewicz, Pierre I. Kluth, Luis A. Preisser, Felix Chun, Felix K. H. Mandel, Philipp Hoeh, Benedikt Medicina (Kaunas) Article Aim and Objectives: We aimed to test the impact of age on long-term urinary continence (≥12 months) in patients undergoing robotic-assisted radical prostatectomy. Methods and Materials: We relied on an institutional tertiary-care database to identify the patients who underwent robotic-assisted radical prostatectomy between January 2014 and January 2021. Patients were divided into three age groups: age group one (≤60 years), age group two (61–69 years) and age group three (≥70 years). Multivariable logistic regression models tested the differences between the age groups in the analyses addressing long-term urinary continence after robotic-assisted radical prostatectomy. Results: Of the 201 prostate cancer patients treated with robotic-assisted radical prostatectomy, 49 (24%) were assigned to age group one (≤60 years), 93 (46%) to age group two (61–69 years) and 59 (29%) to age group three (≥70 years). The three age groups differed according to long-term urinary continence: 90% vs. 84% vs. 69% for, respectively, age group one vs. two vs. three (p = 0.018). In the multivariable logistic regression, age group one (Odds Ratio (OR) 4.73, 95% CI 1.44–18.65, p = 0.015) and 2 (OR 2.94; 95% CI 1.23–7.29; p = 0.017) were independent predictors for urinary continence, compared to age group three. Conclusion: Younger age, especially ≤60 years, was associated with better urinary continence after robotic-assisted radical prostatectomy. This observation is important at the point of patient education and should be discussed in informed consent. MDPI 2023-06-15 /pmc/articles/PMC10305537/ /pubmed/37374357 http://dx.doi.org/10.3390/medicina59061153 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cano Garcia, Cristina
Wenzel, Mike
Humke, Clara
Wittler, Clarissa
Dislich, Julius
Incesu, Reha-Baris
Köllermann, Jens
Steuber, Thomas
Graefen, Markus
Tilki, Derya
Karakiewicz, Pierre I.
Kluth, Luis A.
Preisser, Felix
Chun, Felix K. H.
Mandel, Philipp
Hoeh, Benedikt
Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
title Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
title_full Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
title_fullStr Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
title_full_unstemmed Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
title_short Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
title_sort impact of age on long-term urinary continence after robotic-assisted radical prostatectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10305537/
https://www.ncbi.nlm.nih.gov/pubmed/37374357
http://dx.doi.org/10.3390/medicina59061153
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