Korean J Urol.  2008 Feb;49(2):134-138.

Impact of Laparoscopic Radical Prostatectomy on Urinary Incontinence and Lower Urinary Tract Symptoms

• Yoon BI
• Hwang TK
• Kim JC

Abstract

PURPOSE
The definition of continence after radical prostatectomy has not been established. We examined the continence rate and changes in voiding and storage symptoms after laparoscopic radical prostatectomy(LRP). MATERIALS AND METHODS: Fifty-seven patients were enrolled and followed for more than 12 months after a LRP. Postoperative evaluation of urinary incontinence was performed by interview, and was classified as completely dry, intermittent(occasional dribbling only), using only 1 pad/day, using more than 1 pad/day, and no control. Pre- and post-operative International Prostate Symptom Scores(IPSS) were compared(Total, each criterion, and quality of life, voiding, and storage symptom subscores). RESULTS: Sixty seven percent of patients were completely dry and 17% of patients were classified as intermittent. Those using 1 pad/day, more than 1 pad/day, or no control accounted for 2%, 9%, and 5%, respectively. Pre- and post-operative total IPSS and quality of life scores were not different, but urgency and nocturia scores increased(p<0.05). The voiding subscore decreased and the storage subscore increased after LRP(p<0.05), suggesting aggravation of storage symptoms after LRP. CONCLUSIONS: We need to determine which definition of continence is most clinically useful. It is important to assess lower urinary tract symptoms, especially storage symptoms, as well as urinary incontinence after LRP.

Keyword

Prostatectomy; Urinary incontinence; Urinary tract; Symptoms

MeSH Terms

Humans
Lower Urinary Tract Symptoms
Nocturia
Prostate
Prostatectomy
Quality of Life
Urinary Incontinence
Urinary Tract

Figure

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  Fig. 1 Changes in total IPSS and QoL after laparoscopic radical prostatectomy. IPSS: International Prostate Symptom Score, QoL: quality of life.

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  Fig. 2 IPSS domains pre- and post-surgery. IPSS: International Prostate Symptom Score (*p<0.05 versus preoperative score).

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  Fig. 3 Changes in voiding and storage symptom subscores (*p<0.05 versus preoperative score).

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