Urinary continence after radical prostatectomy: The Columbia experience

Erik T. Goluboff, James A. Saidi, Sean Mazer, Emilia Bagiella, Daniel F. Heitjan, Mitchell C. Benson, Carl A. Olsson

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Purpose: We determine the incidence of urinary incontinence after radical prostatectomy and the factors that may influence this incidence. Materials and Methods: A total of 615 men who underwent radical retropubic prostatectomy performed by 1 of us (C. A. O. or M. C. B.) at our center between 1988 and 1996 were mailed questionnaire regarding preoperative and postoperative voiding habits. Data collected included preoperative and postoperative continence status, interval to postoperative continence status, associated urinary symptoms, willingness to undergo radical prostatectomy again if given the chance and additional postoperative procedures. Patient age, date of surgery and duration of followup were also noted. Results: Of the 615 patients 480 (78.2%), a mean of 62.6 years old, responded to the questionnaire. Mean followup was 3.3 years (range 1 to 8.8). Continence was defined as no regular use of pads. Of the respondents 91.8% were considered continent, 92% had achieved final continence status by 6 months postoperatively, 10.6% required 1 or more additional procedures related to urinary control and 90% would undergo surgery again if given the chance. Of the patients considered incontinent postoperatively 44% had associated urgency. Age, year of surgery and preoperative urinary leakage or post-void dribbling had no significant impact on postoperative continence status. Conclusions: Using an anonymous self-administered questionnaire we found an 8.2% incontinence rate after radical prostatectomy. This rate was similar to that in large, single institutional studies in which physician interview was used to elicit responses but significantly less than that in a national sample of Medicare patients also given a self-administered questionnaire. With minimal potential for adverse consequences in the hands of experienced surgeons, radical prostatectomy remains well tolerated with excellent patient satisfaction.

Original languageEnglish (US)
Pages (from-to)1276-1280
Number of pages5
JournalJournal of Urology
Volume159
Issue number4
DOIs
StatePublished - Jan 1 1998

Fingerprint

Prostatectomy
Postoperative Care
Incidence
Urinary Incontinence
Medicare
Patient Satisfaction
Habits
Surveys and Questionnaires
Interviews
Physicians

Keywords

  • Prostate
  • Prostatectomy
  • Prostatic neoplasms
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

Cite this

Goluboff, E. T., Saidi, J. A., Mazer, S., Bagiella, E., Heitjan, D. F., Benson, M. C., & Olsson, C. A. (1998). Urinary continence after radical prostatectomy: The Columbia experience. Journal of Urology, 159(4), 1276-1280. https://doi.org/10.1016/S0022-5347(01)63580-8

Urinary continence after radical prostatectomy : The Columbia experience. / Goluboff, Erik T.; Saidi, James A.; Mazer, Sean; Bagiella, Emilia; Heitjan, Daniel F.; Benson, Mitchell C.; Olsson, Carl A.

In: Journal of Urology, Vol. 159, No. 4, 01.01.1998, p. 1276-1280.

Research output: Contribution to journalArticle

Goluboff, ET, Saidi, JA, Mazer, S, Bagiella, E, Heitjan, DF, Benson, MC & Olsson, CA 1998, 'Urinary continence after radical prostatectomy: The Columbia experience', Journal of Urology, vol. 159, no. 4, pp. 1276-1280. https://doi.org/10.1016/S0022-5347(01)63580-8
Goluboff, Erik T. ; Saidi, James A. ; Mazer, Sean ; Bagiella, Emilia ; Heitjan, Daniel F. ; Benson, Mitchell C. ; Olsson, Carl A. / Urinary continence after radical prostatectomy : The Columbia experience. In: Journal of Urology. 1998 ; Vol. 159, No. 4. pp. 1276-1280.
@article{bcf47f5dcb0b497ab11b580d0b67eee4,
title = "Urinary continence after radical prostatectomy: The Columbia experience",
abstract = "Purpose: We determine the incidence of urinary incontinence after radical prostatectomy and the factors that may influence this incidence. Materials and Methods: A total of 615 men who underwent radical retropubic prostatectomy performed by 1 of us (C. A. O. or M. C. B.) at our center between 1988 and 1996 were mailed questionnaire regarding preoperative and postoperative voiding habits. Data collected included preoperative and postoperative continence status, interval to postoperative continence status, associated urinary symptoms, willingness to undergo radical prostatectomy again if given the chance and additional postoperative procedures. Patient age, date of surgery and duration of followup were also noted. Results: Of the 615 patients 480 (78.2{\%}), a mean of 62.6 years old, responded to the questionnaire. Mean followup was 3.3 years (range 1 to 8.8). Continence was defined as no regular use of pads. Of the respondents 91.8{\%} were considered continent, 92{\%} had achieved final continence status by 6 months postoperatively, 10.6{\%} required 1 or more additional procedures related to urinary control and 90{\%} would undergo surgery again if given the chance. Of the patients considered incontinent postoperatively 44{\%} had associated urgency. Age, year of surgery and preoperative urinary leakage or post-void dribbling had no significant impact on postoperative continence status. Conclusions: Using an anonymous self-administered questionnaire we found an 8.2{\%} incontinence rate after radical prostatectomy. This rate was similar to that in large, single institutional studies in which physician interview was used to elicit responses but significantly less than that in a national sample of Medicare patients also given a self-administered questionnaire. With minimal potential for adverse consequences in the hands of experienced surgeons, radical prostatectomy remains well tolerated with excellent patient satisfaction.",
keywords = "Prostate, Prostatectomy, Prostatic neoplasms, Urinary incontinence",
author = "Goluboff, {Erik T.} and Saidi, {James A.} and Sean Mazer and Emilia Bagiella and Heitjan, {Daniel F.} and Benson, {Mitchell C.} and Olsson, {Carl A.}",
year = "1998",
month = "1",
day = "1",
doi = "10.1016/S0022-5347(01)63580-8",
language = "English (US)",
volume = "159",
pages = "1276--1280",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Urinary continence after radical prostatectomy

T2 - The Columbia experience

AU - Goluboff, Erik T.

AU - Saidi, James A.

AU - Mazer, Sean

AU - Bagiella, Emilia

AU - Heitjan, Daniel F.

AU - Benson, Mitchell C.

AU - Olsson, Carl A.

PY - 1998/1/1

Y1 - 1998/1/1

N2 - Purpose: We determine the incidence of urinary incontinence after radical prostatectomy and the factors that may influence this incidence. Materials and Methods: A total of 615 men who underwent radical retropubic prostatectomy performed by 1 of us (C. A. O. or M. C. B.) at our center between 1988 and 1996 were mailed questionnaire regarding preoperative and postoperative voiding habits. Data collected included preoperative and postoperative continence status, interval to postoperative continence status, associated urinary symptoms, willingness to undergo radical prostatectomy again if given the chance and additional postoperative procedures. Patient age, date of surgery and duration of followup were also noted. Results: Of the 615 patients 480 (78.2%), a mean of 62.6 years old, responded to the questionnaire. Mean followup was 3.3 years (range 1 to 8.8). Continence was defined as no regular use of pads. Of the respondents 91.8% were considered continent, 92% had achieved final continence status by 6 months postoperatively, 10.6% required 1 or more additional procedures related to urinary control and 90% would undergo surgery again if given the chance. Of the patients considered incontinent postoperatively 44% had associated urgency. Age, year of surgery and preoperative urinary leakage or post-void dribbling had no significant impact on postoperative continence status. Conclusions: Using an anonymous self-administered questionnaire we found an 8.2% incontinence rate after radical prostatectomy. This rate was similar to that in large, single institutional studies in which physician interview was used to elicit responses but significantly less than that in a national sample of Medicare patients also given a self-administered questionnaire. With minimal potential for adverse consequences in the hands of experienced surgeons, radical prostatectomy remains well tolerated with excellent patient satisfaction.

AB - Purpose: We determine the incidence of urinary incontinence after radical prostatectomy and the factors that may influence this incidence. Materials and Methods: A total of 615 men who underwent radical retropubic prostatectomy performed by 1 of us (C. A. O. or M. C. B.) at our center between 1988 and 1996 were mailed questionnaire regarding preoperative and postoperative voiding habits. Data collected included preoperative and postoperative continence status, interval to postoperative continence status, associated urinary symptoms, willingness to undergo radical prostatectomy again if given the chance and additional postoperative procedures. Patient age, date of surgery and duration of followup were also noted. Results: Of the 615 patients 480 (78.2%), a mean of 62.6 years old, responded to the questionnaire. Mean followup was 3.3 years (range 1 to 8.8). Continence was defined as no regular use of pads. Of the respondents 91.8% were considered continent, 92% had achieved final continence status by 6 months postoperatively, 10.6% required 1 or more additional procedures related to urinary control and 90% would undergo surgery again if given the chance. Of the patients considered incontinent postoperatively 44% had associated urgency. Age, year of surgery and preoperative urinary leakage or post-void dribbling had no significant impact on postoperative continence status. Conclusions: Using an anonymous self-administered questionnaire we found an 8.2% incontinence rate after radical prostatectomy. This rate was similar to that in large, single institutional studies in which physician interview was used to elicit responses but significantly less than that in a national sample of Medicare patients also given a self-administered questionnaire. With minimal potential for adverse consequences in the hands of experienced surgeons, radical prostatectomy remains well tolerated with excellent patient satisfaction.

KW - Prostate

KW - Prostatectomy

KW - Prostatic neoplasms

KW - Urinary incontinence

UR - http://www.scopus.com/inward/record.url?scp=0031898033&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031898033&partnerID=8YFLogxK

U2 - 10.1016/S0022-5347(01)63580-8

DO - 10.1016/S0022-5347(01)63580-8

M3 - Article

C2 - 9507852

AN - SCOPUS:0031898033

VL - 159

SP - 1276

EP - 1280

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 4

ER -