Cargando…
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...
Autores principales: | , , , , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1785065757633150976 |
---|---|
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. |
format | Online Article Text |
id | pubmed-10305537 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT canogarciacristina impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT wenzelmike impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT humkeclara impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT wittlerclarissa impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT dislichjulius impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT incesurehabaris impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT kollermannjens impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT steuberthomas impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT graefenmarkus impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT tilkiderya impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT karakiewiczpierrei impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT kluthluisa impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT preisserfelix impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT chunfelixkh impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT mandelphilipp impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy AT hoehbenedikt impactofageonlongtermurinarycontinenceafterroboticassistedradicalprostatectomy |