The prevalence of urinary incontinence among patients with prostatic carcinoma who underwent radical retropubic prostatectomies-a local retrospective study
DOI:
https://doi.org/10.56056/Keywords:
Prostate cancer, Radical Retropubic Prostatectomy, Risk factors, Urinary IncontinenceAbstract
Background and objective: The prostate cancer is the fourth cancer responsible for mortality in Kurdistan region. Urinary incontinence is the frustrating complication of prostatectomy. To assess the predisposing factors of urinary incontinence in patients had prostatic carcinoma underwent radical retropubic prostatectomy.
Methods: The design of current study was retrospective which carried out in Rizgari hospital in 3 years period from first of October 2019 to end of September 2022 on 41 patients with localized prostate cancer who doesn’t have urinary incontinence before surgery and underwent radical retropubic prostatectomy. The inclusion criteria encompassed patients having localized prostate cancer without preoperative urinary incontinence, who subsequently underwent radical retropubic prostatectomy. Conversely, the exclusion criteria involved patients with localized prostate cancer exhibiting preoperative urinary incontinence, advanced prostate cancer, metastatic prostate cancer.
Results: Prevalence of urinary incontinence at 3rd month postoperatively for patients with prostatic carcinoma who underwent radical retropubic prostatectomies was (22%) in which (78%) was free from incontinence. Prevalence of urinary incontinence at 12th month postoperatively for patients with prostatic carcinoma underwent radical retropubic prostatectomies was (4.9%) in which (95.1 %) was free from incontinence. Various risk factors play a significant role in the development of incontinence post radical retropubic prostatectomy. These factors include obesity, smoking history, diabetes mellitus, prostate volume, and advanced pathological T staging. Their impact on the study was statistically significant.
Conclusions: Urinary incontinence magnitude at 3rd and 12th months following radical retropubic prostatectomy is within acceptable range.
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