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

Hüseyin Alperen Yıldız; Emrullah Sogutdelen

Makale detayları

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

Yazarlar:

Hüseyin Alperen Yıldız | Emrullah Sogutdelen

Yayıncı:

Kocaeli University

Ana Başlıklar:

Üroloji

Dergi:

Acta Medica Nicomedia Vol.6 Issue 1, pp.55-59

Belge Tipi:

Makale

Yayın Tarihi:

2/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284605

pISSN:

2717-8994

Anahtar kelimeler:

Özet:

 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 RRP due to localized prostate cancer and incontinent after surgery between January 2015 and December 2020 and underwent urodynamic study 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 BMI, comorbidity, preoperative PSA level, prostate volume 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 85.2 had intrinsic sphincter deficiency ISD. Nine 26.4 of 29 patients with ISD had a secondary diagnosis of overactive bladder OAB, impaired detrusor contractility IDC and OABIDC 9 11.6, 4 11.6, 1 2.9, respectively. Nineteen patients 55.8 had a sole diagnosis of ISD, whereas 15 patients 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.

 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 RRP due to localized prostate cancer and incontinent after surgery between January 2015 and December 2020 and underwent urodynamic study 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 BMI, comorbidity, preoperative PSA level, prostate volume 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 85.2 had intrinsic sphincter deficiency ISD. Nine 26.4 of 29 patients with ISD had a secondary diagnosis of overactive bladder OAB, impaired detrusor contractility IDC and OABIDC 9 11.6, 4 11.6, 1 2.9, respectively. Nineteen patients 55.8 had a sole diagnosis of ISD, whereas 15 patients 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.

 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 RRP due to localized prostate cancer and incontinent after surgery between January 2015 and December 2020 and underwent urodynamic study 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 BMI, comorbidity, preoperative PSA level, prostate volume 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 85.2 had intrinsic sphincter deficiency ISD. Nine 26.4 of 29 patients with ISD had a secondary diagnosis of overactive bladder OAB, impaired detrusor contractility IDC and OABIDC 9 11.6, 4 11.6, 1 2.9, respectively. Nineteen patients 55.8 had a sole diagnosis of ISD, whereas 15 patients 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.

 Amaç: Bu çalışmada radikal prostatektomiden 12 ay sonra persistan inkontinansı olan hastalarda üriner inkontinans nedenleri ve eşlik eden mesane patolojilerinin belirlenmesi amaçlanmıştır. Yöntem: Ocak 2015 ile Aralık 2020 tarihleri arasında lokalize prostat kanseri nedeniyle açık radikal retropubik prostatektomi RRP uygulanan ve cerrahiden sonra inkontinansı olan ve urodinami yapılmış olan 34 hasta retrospektif olarak incelendi. Tüm ürodinamik çalışmalar, iyi ürodinamik uygulama ICS protokolüne göre yapıldı ve değerlendirmeleri aynı doktor tarafından yapıldı. Hastalar vücut kitle indeksi, komorbidite, ameliyat öncesi PSA düzeyi, prostat hacmi, prostat, prostat biyopsi Gleason skoru, klinik evre, patolojik ISUP grade, patolojik evre, kaçırma anket lenf nodu pozitifliği, uluslararası inkontinans sorgulama formukısa form ve ped kullanımı için öznel anket dahil olmak üzere demografik ve klinik parametreleri ile değerlendirildi. Bulgular: Ürodinamik çalışmalar 29 hastada 85.2 intrinsik sfinkter yetersizliği ISY olduğunu gösterdi. Bu 29 hastanın 9unda 26,4; sekonder aşırı aktif mesane AAM, bozulmuş detrusör kontraktilitesi BDK ve AAMBDK, sırasıyla 9 11,6, 4 11,6, 1 2,9 hastada saptandı. On dokuz hastada 55.8 tek ISY tanısı varken, 15 hastada 44.1 ISY dışında başka bir birincil tanı veya ikincil tanı vardı. Sonuç: Radikal prostatektomi sonrası hastalarda persistan üriner inkontinansın en sık nedeni intrinsik sfinter yetmezliği olmasına rağmen, hastaların önemli bir kısmında aşırı aktif mesane ve bozulmuş detrüsör kontraktilitesinin de eşlik ettiği göz önünde bulundurulmalıdır.

Makale detayları

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

Yazarlar:

Hüseyin Alperen Yıldız | Emrullah Sogutdelen

Yayıncı:

Kocaeli University

Ana Başlıklar:

Üroloji

Dergi:

Acta Medica Nicomedia Vol.6 Issue 1, pp.55-59

Belge Tipi:

Makale

Yayın Tarihi:

2/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284605

pISSN:

2717-8994

prostate cancer

post-prostatectomy incontinence

urodynamics

prostat kanseri

prostatektomi sonrası inkontinans

ürodinami

Sayı

Makale detayları

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

Yazarlar: Hüseyin Alperen Yıldız | Emrullah Sogutdelen

Yayıncı: Kocaeli University

Ana Başlıklar: Üroloji

Dergi: Acta Medica Nicomedia Vol.6 Issue 1, pp.55-59

Belge Tipi: Makale

Yayın Tarihi: 2/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001284605

pISSN: 2717-8994

prostate cancer

post-prostatectomy incontinence

urodynamics

prostat kanseri

prostatektomi sonrası inkontinans

ürodinami

Sayı

Yazarlar:

Hüseyin Alperen Yıldız | Emrullah Sogutdelen

Yayıncı:

Kocaeli University

Ana Başlıklar:

Üroloji

Dergi:

Acta Medica Nicomedia Vol.6 Issue 1, pp.55-59

Belge Tipi:

Makale

Yayın Tarihi:

2/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284605

pISSN:

2717-8994