title: Influence of secondary diagnoses in the development of urinary incontinence after radical prostatectomy.
abstract: OBJECTIVE
  To study whether there are factors related to secondary diagnoses (SDg) present in patients with prostate cancer that influence the development of urinary incontinence after radical prostatectomy (RP).
  
  
  METHODS
  A retrospective multicenter observational study was performed reviewing the medical records of 430 men who underwent RP due to organ-confined prostate cancer in 9 different hospitals. Two study groups were distinguished: Group A (GA): Patients without urinary incontinence after RP; Group B (GB): patients with any degree of post-surgical urinary incontinence.
  
  
  RESULTS
  Average age at surgery was 63.42 years (range 45-73). 258 patients were continent after surgery and 172 patients complaint of any degree of incontinence after RP. A higher percentage of healthy patients was found in group A (continent after surgery) than in group B (p = 0.001). The most common SDg prior to surgery were hypertension, lower urinary tract symptoms, dyslipidemia, diabetes mellitus and erectile dysfunction, but none did show a greater trend towards post-surgical incontinence.
  
  
  CONCLUSIONS
  A better health status prior to surgery is associated to a lower incidence of new-onset urinary incontinence after radical prostatectomy. However, no correlation was found between the most common medical disorders and the development of post-surgical urinary incontinence.
authors.affiliation: Department of Urology, University Hospital of the Canary Islands, Tenerife. padillaf83@hotmail.com.
authors.forename: Bárbara
authors.initials: B
authors.lastname: Padilla-Fernández
authors.forename: Álvaro Julio
authors.initials: ÁJ
authors.lastname: Virseda-Rodríguez
authors.forename: Lauro Sebastián
authors.initials: LS
authors.lastname: Valverde-Martínez
authors.forename: Bruno Jorge
authors.initials: BJ
authors.lastname: Pereira
authors.forename: Hugo
authors.initials: H
authors.lastname: Coelho
authors.forename: Maria Tatiana
authors.initials: MT
authors.lastname: Santos-Antunes
authors.forename: Manuel
authors.initials: M
authors.lastname: Montesino-Semper
authors.forename: Carlos
authors.initials: C
authors.lastname: Müller-Arteaga
authors.forename: José Luis
authors.initials: JL
authors.lastname: Álvarez-Ossorio-Fernández
authors.forename: Filippo
authors.initials: F
authors.lastname: Migliorini
authors.forename: Ana
authors.initials: A
authors.lastname: Lorenzo-Gómez
authors.forename: María Begoña
authors.initials: MB
authors.lastname: García-Cenador
authors.forename: Patricia
authors.initials: P
authors.lastname: Antúnez-Plaza
authors.forename: Juan Miguel
authors.initials: JM
authors.lastname: Silva-Abuín
authors.forename: María Fernanda
authors.initials: MF
authors.lastname: Lorenzo-Gómez
mesh_terms: D000368:Aged; D003920:Diabetes Mellitus / Q000453:epidemiology; D050171:Dyslipidemias / Q000453:epidemiology; D007172:Erectile Dysfunction / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D015994:Incidence; D059411:Lower Urinary Tract Symptoms / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology*