Predictive factors of urinary incontinence after radical prostatectomy: Systematic review

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Published Dec 14, 2017
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Vol. 95 No. 4 (2017): Issue Apr 2017

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Sataa Sallami

Abstract

Purpose: To determine the predictive factors of urinary incontinence (UI) after radical prostatectomy (RP) for localized prostate cancer.
Methods: Review of the French and English literature between 1996 and 2015 treating risk factors of UI after RP.
Results: We identified 46 articles to be analyzed. Preoperative risk factors of UI were age, BMI, prostate surgery history, the sphincter deficit, bladder instability, the quality of the surgical technique (preservation of neuro-vacsulaire strips, blood loss) The morphology of the prostate on MRI and the importance of the loss of urine after the removal of the bladder catheter.
Conclusion: Several risk factors have been implicated clinical order (age, obesity, prostate surgery history, preoperative ED), urodynamics, radiological (the shape of the prostatic apex) and other depending in the surgical technique.

Keywords:

Prostate cancer - radical prostatectomy - Urinary incontinence - Risk factor

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