Impact of comorbidities on post-prostatectomy incontinence.
BACKGROUND
The aim of this retrospective study was to evaluate various factors that may influence post-prostatectomy incontinence (PPI).


METHODS
1,088 men with prostate cancer underwent radical retropubic prostatectomy. 742 patients were evaluable for analysis. Continence was defined as usage of no or one pad daily. Mean follow-up was 45 months (12-143).


RESULTS
Based on protective pad requirement 100% and 76% of men were continent at baseline and at the time of questionnaire evaluation (at least 12 months), respectively. Univariate analysis was performed to identify factors that may influence the return of continence. Age, body mass index (BMI), previous TUR-P, smoking, hypertension, diabetes and attempted nerve sparing did not predict postoperative continence status.


CONCLUSIONS
In contrast to several reports, our analysis revealed that age, BMI, previous TUR-P, smoking, hypertension and diabetes do not have a statistically significant impact on continence after radical retropubic prostatectomy and are therefore not useful as predictors for PPI.
Wille
S
S
Division of Gynecology and Neurourology, University of Cologne, Cologne, Germany. sebastian.wille@uk-koeln.de
Heidenreich
A
A
von Knobloch
R
R
Hofmann
R
R
Engelmann
U
U
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D011471:Prostatic Neoplasms / Q000150:complications* / Q000601:surgery*; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology*