The effects of retropubic and perineal radical prostatectomy techniques on postoperative urinary continence after surgery: Results of 196 patients.
OBJECTIVE
The aim of this study was to examine the effects of the retropubic and perineal radical prostatectomy techniques on postoperative urinary continence.


METHODS
This study included patients who had undergone radical retropubic (RRP) (n=54) or radical perineal prostatectomies (RPP) (n=142) in our clinic between December 2006 and December 2010 with the indication of localized prostate cancer. Preoperative, and postoperative continence levels of the patients were evaluated on the day of catheter removal, and at 3., 6. or 12. months using University of California-Los Angeles (UCLA) prostate cancer index query forms completed by the patients themselves in outpatient clinics.


RESULTS
Mean ages of the perineal, and retropubic groups were 62.3 (48-77), and 62.5 (50-74) years, respectively. The absolute urinary control rates of the RPP patients on the first days, and the first, third, sixth, and twelfth months were 44.3, 63.6, 76.2, 79.5, and 86.1%, respectively. The same rates were 51.4, 75.7, 78.4, 89.2, and 91.9% for the RRP group, respectively.


CONCLUSIONS
There was no significant difference between RRP groups as for the frequency of urinary incontinence.
Clinic of Urology, Dr. Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.
Alper
A
Kafkaslı
Clinic of Urology, Kars State Hospital, Kars, Turkey.
Mustafa
M
Yücel Boz
Clinic of Urology, Cizre State Hospital, Şırnak, Turkey.
Muhsin
M
Balaban
Clinic of Urology, Special İstanbul Medipol Hospital, İstanbul, Turkey.
Rahim
R
Horuz
Clinic of Urology, Dr. Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.
Ahmet
A
Selimoğlu
Clinic of Urology, Special İstanbul Medipol Hospital, İstanbul, Turkey.
Selami
S
Albayrak
Clinic of Urology, Dr. Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey.
Önder
Ö
Cangüven
Radical perineal prostatectomy; radical retropubic prostatectomy; urinary incontinence