KEEP IN MIND OTHER CAUSES THAN INTRINSIC SPHINCTER DYSFUNCTION IN POST-PROSTATECTOMY INCONTINENCE

Authors : Hüseyin Alperen YILDIZ, Emrullah SOGUTDELEN

Pages : 55-59

View : 21 | Download : 12

Publication Date : 2023-02-28

Article Type : Research Paper

Abstract :Objective: This study aims to determine the causes of urinary incontinence and accompanying bladder pathologies in patients with persistent incontinence 12 months after radical prostatectomy. Methods: Thirty-four patients who underwent open radical retropubic prostatectomy insert ignore into journalissuearticles values(RRP); due to localized prostate cancer and incontinent after surgery between January 2015 and December 2020 and underwent urodynamic study insert ignore into journalissuearticles values(UDS); were retrospectively reviewed. All UDSs were performed according to the ICS protocol of good urodynamic practice and assessed by the same doctor. Patients were assessed by demographic and clinical parameters including age, body mass index insert ignore into journalissuearticles values(BMI);, comorbidity, preoperative PSA level, prostate volume insert ignore into journalissuearticles values(PV);, transrectal prostate biopsy Gleason score, clinical stage, pathological ISUP grade, pathological stage, lymph node positivity, international consultation on incontinence questionnaire-short form and subjective questionnaire for daily pad use. Results: Urodynamic studies showed that 29 patients insert ignore into journalissuearticles values(85.2%); had intrinsic sphincter deficiency insert ignore into journalissuearticles values(ISD);. Nine insert ignore into journalissuearticles values(26.4%); of 29 patients with ISD had a secondary diagnosis of overactive bladder insert ignore into journalissuearticles values(OAB);, impaired detrusor contractility insert ignore into journalissuearticles values(IDC); and OAB+IDC 9 insert ignore into journalissuearticles values(11.6%);, 4 insert ignore into journalissuearticles values(11.6%);, 1 insert ignore into journalissuearticles values(2.9%);, respectively. Nineteen patients insert ignore into journalissuearticles values(55.8%); had a sole diagnosis of ISD, whereas 15 patients insert ignore into journalissuearticles values(44.1%); had another primary diagnosis or a secondary diagnosis other than ISD. Conclusion: Although ISD is the most common cause of persistent urinary incontinence in patients after radical prostatectomy, it should be taken into account that overactive bladder and impaired detrusor contractility are also accompanied by a significant proportion of patients.
Keywords : prostat kanseri, prostatektomi sonrası inkontinans, ürodinami