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 |
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| Authors: | Se Yun Kwon |
| Source: | Yeungnam University Journal of Medicine, Vol 38, Iss 2, Pp 142-147 (2021) |
| Publisher Information: | Yeungnam University College of Medicine, 2021. |
| Publication Year: | 2021 |
| Collection: | LCC:Medicine (General) |
| Subject Terms: | anastomotic leak, prostatectomy, urinary incontinence, Medicine (General), R5-920 |
| More Details: | 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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English Korean |
| ISSN: | 2384-0293 |
| Relation: | http://www.e-yujm.org/upload/pdf/yujm-2020-00682.pdf; https://doaj.org/toc/2384-0293 |
| DOI: | 10.12701/yujm.2020.00682 |
| Access URL: | https://doaj.org/article/47d274a73f91491cb3bda864e04cc71c |
| Accession Number: | edsdoj.47d274a73f91491cb3bda864e04cc71c |
| Database: | Directory of Open Access Journals |
| ISSN: | 23840293 |
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| DOI: | 10.12701/yujm.2020.00682 |
| Published in: | Yeungnam University Journal of Medicine |
| Language: | English Korean |