|Table of Contents|

Risk factors of urinary incontinence after radical prostatectomy in middle-aged and elderly patients

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2020 02
Page:
248-251
Research Field:
Publishing date:

Info

Title:
Risk factors of urinary incontinence after radical prostatectomy in middle-aged and elderly patients
Author(s):
Liu Shuang; Fan Dongping; Huang Yingqin; Liao Yan; Liu Ling
Department of Urology,Institude of Urology,West China Hospital of Sichuan University,Sichuan Chengdu 610041,China.
Keywords:
radical prostatectomy for middle-aged and elderly patients; postoperative urinary incontinence; risk factors
PACS:
R737.25
DOI:
10.3969/j.issn.1672-4992.2020.02.016
Abstract:
Objective:To analyze the risk factors of urinary incontinence in elderly patients after radical prostatectomy.Methods:The 100 middle-aged and elderly patients with radical prostatectomy admitted to our hospital from January 2015 to December 2018 were selected as the study subjects,and the occurrence of urinary incontinence after operation was observed.Multivariate Logistic analysis was used to analyze the risk factors of urinary incontinence after radical prostatectomy in middle-aged and elderly patients.Results:Among the 100 elderly patients undergoing radical prostatectomy,31 had urinary incontinence,and the incidence was 31.00%.Univariate analysis showed that there was no significant difference in the incidence of urinary incontinence among different BMI,smoking history,drinking history,hypertension,diabetes mellitus,coronary heart disease,prostate surgery history and operation time (P＞0.05).The incidence of urinary incontinence after operation in patients with age ＞60 years old was higher than that patients with age ≤60 years old,and the incidence of urinary incontinence after operation was higher than that without operation (P＞0.05).The incidence of urinary incontinence after unprotected neurosurgery was higher than that after protective neurosurgery.The incidence of urinary incontinence after decompensated bladder function was higher than that after compensated neurosurgery.The difference was statistically significant (P＜0.05).Logistic analysis showed that age>60 years old,preoperative urinary incontinence,unprotected urinary control nerve and bladder dysfunction were risk factors for urinary incontinence.Conclusion:Among the risk factors of urinary incontinence after radical prostatectomy in the elderly,age,preoperative urinary incontinence,intraoperative protection of urinary control nerve and bladder function should be taken to reduce the incidence of urinary incontinence after radical prostatectomy.

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Last Update: 2019-11-29