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Assessment of the continence status and patients’ satisfaction after retropubic radical prostatectomy: a questionnaire based study

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Abstract

Objective

The aim of this study was to assess the continence status and patients’ satisfaction after retropubic radical prostatectomy by a self-administered questionnaire composed of 12 questions.

Materials and methods

In total, 143 patients who underwent RRP operation at our department from 1992 to 2000 with a minimum 6 months of follow-up were assessed. Seventy two patients participated in the study. The continence status was classified as follows; patients who did not leak were considered as “continent”, those who had leakage that occurred less frequent than or equal to once a day were regarded␣as “socially continent”, and those who had more than once a day leakage were regarded as “incontinent”. The correlation between urinary leakage, patients’ satisfaction and pre-operative, peri-operative and post-operative factors were investigated. Univariate and multivariate analyses were done using Fisher’s exact, chi-square, Student's-t and logistic regression tests.

Results

The mean age of patients at surgery was 63.9 years (49–76) with a follow-up period of 37.1 months (6–97). Of these patients, 44% were continent, 48% were socially continent, 8% were incontinent. A␣total of 64 of 72 patients (89%) were satisfied with their final continence status, and 63 (87%) patients accepted to undergo the same surgery again if it is indicated. Pre-, peri- and post-operative factors did not influence the urinary leakage rates.␣Patients with nocturnal leakage, urgency, decreased urinary flow and patients who use pad (-s) were significantly less satisfied on univariate analysis, while only nocturnal leakage had a significant impact on patients’ satisfaction on multivariate analysis.

Conclusion

Urinary leakage and patients’ satisfaction rates after RRP were 56% and 89%, respectively. None of the factors could predict the post-operative continence status. When evaluating the patients’ satisfaction, only nocturnal leakage was found to have an adverse affect on multivariate analyses.

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Authors and Affiliations

  1. Department of Urology, Cerrahpasa School of Medicine, University of Istanbul, 34303, Fatih-Istanbul, Turkey

    Oktay Demirkesen, Bulent Onal, Burcin Tunc, Bulent Alici, Ali Ulvi Onder, Ali Ugur Ozalp & Bulent Cetinel

Authors
  1. Oktay Demirkesen
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  2. Bulent Onal
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  3. Burcin Tunc
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  4. Bulent Alici
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  5. Ali Ulvi Onder
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  6. Ali Ugur Ozalp
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  7. Bulent Cetinel
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Corresponding author

Correspondence to Oktay Demirkesen.

Appendix 1

Appendix 1

 

(1) Before the operation, did you have a problem with urinary leakage or dripping?

a. Yes

b. No

(2) After the operation, do you have a problem with urinary leakage or dripping?

a. I never drip or leak urine

b. I drip or leak urine less frequent than or equal to once a day

c. I drip or leak urine more frequent than once a day

(3) After the operation, when did you reach your final continence status?

a. 1 week

b. 1 month

c. 3 months

d. 6 months

e. 12 months

(5) Do you ever leak urine at night?

a. Yes

b. No

(6) Do you use protective pads?

a. No

b. Occasionally (At nights or while performing exercises etc)

c. Always

(7) Have you ever performed pelvic floor exercises?

a. Yes

b. No

(8) Do you have a feeling of urgency (A feeling that you must rush to bathroom, because if you do not, you will wet your clothes)?

a. Yes

b. No

(9) Did your urinary stream changed after the operation?

a. Increased

b. Decreased

c. Did not changed

(10) Are you satisfied with the operation?

a. Satisfied

b. Not satisfied

(11) Would you recommend this operation to the others who had the same disease?

a. Yes

b. No

(12) Would you accept to undergo same surgery again, if it is indicated?

a. Yes

b. No

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Demirkesen, O., Onal, B., Tunc, B. et al. Assessment of the continence status and patients’ satisfaction after retropubic radical prostatectomy: a questionnaire based study. Int Urol Nephrol 39, 531–536 (2007). https://doi.org/10.1007/s11255-006-9067-8

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  • DOI: https://doi.org/10.1007/s11255-006-9067-8

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