ArticleUrologie (Heidelberg, Germany)2024
[Urinary incontinence after radical prostatectomy for prostate cancer-data from 17,149 patients from 125 certified centers].
Article in Urologie (Heidelberg, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- [Male slings-an overview].Urologie (Heidelberg, Germany) · 2026Review
- Sex-specific differences in urinary incontinence associated factors in older adults: an analysis of the German health update study (GEDA 2019/2020-EHIS).World journal of urology · 2025Article
- [Active surveillance of prostate cancer].Urologie (Heidelberg, Germany) · 2025Review
- Short-Term Urinary Incontinence After Radical Prostatectomy Is Still Based on Patients' Age, Nerve-Sparing Approach, and Surgical-Experience, Despite the Higher-Use of Robotic Surgery in 2022 Compared to 2016 Real-World Results of a Large Rehabilitation Center in Germany.Cancer reports (Hoboken, N.J.) · 2024Article
- Article
- Factors Contributing to Early Recovery of Urinary Continence Following Radical Prostatectomy: A Narrative Review.Journal of clinical medicine · 2024Review
- The Association between Patient Characteristics and Biochemical Recurrence after Radical Prostatectomy.Medicina (Kaunas, Lithuania) · 2024Article
- [Primary staging with PSMA-PET improves the prediction of prostate cancer recurrence].Urologie (Heidelberg, Germany) · 2023Article
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Authors and funding
51 authors at 20 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn addition to erectile dysfunction, urinary incontinence is the most common functional limitation after radical prostatectomy (RPE) for prostate cancer (PCa). The German S3 guideline recommends informing patients about possible effects of the therapy options, including incontinence. However, only little data on continence from routine care in German-speaking countries after RPE are currently available, which makes it difficult to inform patients.
objectiveThe aim of this work is to present data on the frequency and severity of urinary incontinence after RPE from routine care. MATERIALS AND
methodsInformation from the PCO (Prostate Cancer Outcomes) study is used, which was collected between 2016 and 2022 in 125 German Cancer Society (DKG)-certified prostate cancer centers in 17,149 patients using the Expanded Prostate Cancer Index Composite Short Form (EPIC-26). Changes in the "incontinence" score before (T0) and 12 months after RPE (T1) and the proportion of patients who used pads, stratified by age and risk group, are reported.
resultsThe average score for urinary incontinence (value range: 0-worst possible to 100-best possible) was 93 points at T0 and 73 points 12 months later. At T0, 97% of the patients did not use a pad, compared to 56% at T1. 43% of the patients who did not use a pad before surgery used at least one pad a day 12 months later, while 13% use two or more. The proportion of patients using pads differs by age and risk classification.
conclusionThe results provide a comprehensive insight into functional outcome 12 months after RPE and can be taken into account when informing patients.
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