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Efficacy of urine loss ratio for prognosis of urinary continence after radical prostatectomy: A retrospective cohort study in a single Japanese institution.

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  • Additional Information
    • Source:
      Publisher: Korean Urological Association Country of Publication: Korea (South) NLM ID: 101674989 Publication Model: Print Cited Medium: Internet ISSN: 2466-054X (Electronic) Linking ISSN: 24660493 NLM ISO Abbreviation: Investig Clin Urol Subsets: MEDLINE
    • Publication Information:
      Original Publication: Seoul : Korean Urological Association, [2016]-
    • Subject Terms:
      Prostatectomy*/adverse effects ; Prostatic Neoplasms*/surgery ; Urinary Incontinence*/etiology; Humans ; Male ; East Asian People ; Prognosis ; Retrospective Studies
    • Abstract:
      Purpose: The usefulness of the urine loss ratio in the early postoperative period for prognosis of long-term urinary continence after radical prostatectomy has not been fully determined.
      Materials and Methods: All patients who underwent radical prostatectomy for prostate cancer at our institution between November 2015 and March 2021 were retrospectively included. We investigated the rate of continence achievement 1 year after surgery, as well as the associated risk factors for reduced continence achievement, classified by every 10% of the urine loss ratio.
      Results: Of the 100 patients with available urine loss ratio data, 66 achieved urinary continence. Ninety-three percent of patients with urine loss ratios of ≤10%, 40%-75% of patients with urine loss ratios of 11%-80%, and 20%-36% of patients with urine loss ratios of >80%, achieved continence. The logistic regression analysis showed that the urine loss ratio severity, body mass index (BMI) of >25 kg/m², and smoking history were unfavorable to achieve urinary continence. A BMI of ≤25 kg/m² was favorable for urinary continence achievement, but only up to an 80% urine loss ratio. Nonsmokers achieved continence well, even with a urine loss ratio of >80%.
      Conclusions: Classifying patients into three groups based on their urine loss ratios is potentially useful for urinary continence prognosis. Smoking and obesity were risk factors for continued urinary incontinence, although the prognostic accuracy was expected to improve when considering the severity of the urine loss ratio.
      Competing Interests: The authors have nothing to disclose.
      (© The Korean Urological Association.)
    • References:
      Eur J Pharmacol. 2010 Dec 15;649(1-3):1-13. (PMID: 20868673)
      Prostate Int. 2018 Sep;6(3):94-98. (PMID: 30140658)
      Urology. 2009 Feb;73(2):316-22. (PMID: 18952266)
      Int J Urol. 2021 Apr;28(4):440-443. (PMID: 33508874)
      Korean J Urol. 2013 Sep;54(9):598-602. (PMID: 24044093)
      Eur Urol. 2007 Jul;52(1):178-85. (PMID: 17222961)
      Can Urol Assoc J. 2019 May;13(5):E125-E131. (PMID: 30332593)
      Int J Urol. 2006 Sep;13(9):1191-6. (PMID: 16984551)
      Surg Gynecol Obstet. 1979 Oct;149(4):600-8. (PMID: 483144)
      Int J Clin Exp Med. 2015 Aug 15;8(8):14105-9. (PMID: 26550377)
      Eur Urol. 2009 May;55(5):1037-63. (PMID: 19185977)
      Urol Int. 2006;76(3):223-6. (PMID: 16601383)
      Psychoneuroendocrinology. 1998 Feb;23(2):175-87. (PMID: 9621397)
      Urology. 2010 Nov;76(5):1117-21. (PMID: 20708781)
      Int J Urol. 2011 Jun;18(6):444-51. (PMID: 21457358)
    • Contributed Indexing:
      Keywords: Body mass index; Nonsmokers; Prostatectomy; Prostatic neoplasms; Urinary incontinence
    • Publication Date:
      Date Created: 20230307 Date Completed: 20230309 Latest Revision: 20230516
    • Publication Date:
      20240513
    • Accession Number:
      PMC9995956
    • Accession Number:
      10.4111/icu.20220380
    • Accession Number:
      36882176