Cargando…

Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence

BACKGROUND: This study was performed to investigate the association between cystographic anastomotic urinary leakage (UL) after retropubic radical prostatectomy (RRP) and early urinary incontinence (UI). METHODS: The medical records of 53 patients who had undergone cystography after RRP at our insti...

Descripción completa

Detalles Bibliográficos
Autor principal: Kwon, Se Yun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Yeungnam University College of Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016620/
https://www.ncbi.nlm.nih.gov/pubmed/33207402
http://dx.doi.org/10.12701/yujm.2020.00682
_version_ 1783673897671983104
author Kwon, Se Yun
author_facet Kwon, Se Yun
author_sort Kwon, Se Yun
collection PubMed
description BACKGROUND: This study was performed to investigate the association between cystographic anastomotic urinary leakage (UL) after retropubic radical prostatectomy (RRP) and early urinary incontinence (UI). METHODS: The medical records of 53 patients who had undergone cystography after RRP at our institution between January 2015 and December 2018 were retrospectively analyzed. Cystography was performed 7 to 10 days after surgery. The duration of catheterization depended on the degree of UL, which was classified as mild, moderate, or severe. The study subjects were divided into the non-UL group and the UL group. Continence was defined as the use of no pads. The prostate was dissected in an antegrade fashion, and urethrovesical anastomosis was performed with a continuous suture. RESULTS: Incontinence rates at 1 and 3 months postoperatively were significantly higher in the UL group than the non-UL group (83.3% vs. 52.2%, p=0.014 and 76.7% vs. 47.8%, p=0.030, respectively); however, those at 6 and 12 months were not significantly different (23.3% vs. 17.4%, p=0.597 and 4.3% vs. 10.0%, p=0.440, respectively). The severity of UL was not found to influence the duration of incontinence. The presence of cystographic anastomotic UL was found to be predictive of UI during the first 3 postoperative months (odds ratio, 3.3; p=0.045). CONCLUSION: The presence of anastomotic UL on cystography was associated with higher rates of UI in the early postoperative periods. However, incontinence rates in patients with or without anastomotic UL immediately after RRP equalized at 6 months and the severity of UL did not affect the duration of postoperative UI.
format Online
Article
Text
id pubmed-8016620
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Yeungnam University College of Medicine
record_format MEDLINE/PubMed
spelling pubmed-80166202021-04-07 Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence Kwon, Se Yun Yeungnam Univ J Med Original Article BACKGROUND: This study was performed to investigate the association between cystographic anastomotic urinary leakage (UL) after retropubic radical prostatectomy (RRP) and early urinary incontinence (UI). METHODS: The medical records of 53 patients who had undergone cystography after RRP at our institution between January 2015 and December 2018 were retrospectively analyzed. Cystography was performed 7 to 10 days after surgery. The duration of catheterization depended on the degree of UL, which was classified as mild, moderate, or severe. The study subjects were divided into the non-UL group and the UL group. Continence was defined as the use of no pads. The prostate was dissected in an antegrade fashion, and urethrovesical anastomosis was performed with a continuous suture. RESULTS: Incontinence rates at 1 and 3 months postoperatively were significantly higher in the UL group than the non-UL group (83.3% vs. 52.2%, p=0.014 and 76.7% vs. 47.8%, p=0.030, respectively); however, those at 6 and 12 months were not significantly different (23.3% vs. 17.4%, p=0.597 and 4.3% vs. 10.0%, p=0.440, respectively). The severity of UL was not found to influence the duration of incontinence. The presence of cystographic anastomotic UL was found to be predictive of UI during the first 3 postoperative months (odds ratio, 3.3; p=0.045). CONCLUSION: The presence of anastomotic UL on cystography was associated with higher rates of UI in the early postoperative periods. However, incontinence rates in patients with or without anastomotic UL immediately after RRP equalized at 6 months and the severity of UL did not affect the duration of postoperative UI. Yeungnam University College of Medicine 2020-11-19 /pmc/articles/PMC8016620/ /pubmed/33207402 http://dx.doi.org/10.12701/yujm.2020.00682 Text en Copyright © 2021 Yeungnam University College of Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Kwon, Se Yun
Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
title Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
title_full Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
title_fullStr Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
title_full_unstemmed Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
title_short Association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
title_sort association between cystographic anastomotic urinary leakage following retropubic radical prostatectomy and early urinary incontinence
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8016620/
https://www.ncbi.nlm.nih.gov/pubmed/33207402
http://dx.doi.org/10.12701/yujm.2020.00682
work_keys_str_mv AT kwonseyun associationbetweencystographicanastomoticurinaryleakagefollowingretropubicradicalprostatectomyandearlyurinaryincontinence