Alper Kafkaslı1, Mustafa Yücel Boz2, Muhsin Balaban3, Rahim Horuz4, Ahmet Selimoğlu1, Selami Albayrak4, Önder Cangüven1. 1. Clinic of Urology, Dr. Lütfi Kırdar Education and Research Hospital, İstanbul, Turkey. 2. Clinic of Urology, Kars State Hospital, Kars, Turkey. 3. Clinic of Urology, Cizre State Hospital, Şırnak, Turkey. 4. Clinic of Urology, Special İstanbul Medipol Hospital, İstanbul, Turkey.
Abstract
OBJECTIVE: The aim of this study was to examine the effects of the retropubic and perineal radical prostatectomy techniques on postoperative urinary continence. MATERIAL AND 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. CONCLUSION: There was no significant difference between RRP groups as for the frequency of urinary incontinence.
OBJECTIVE: The aim of this study was to examine the effects of the retropubic and perineal radical prostatectomy techniques on postoperative urinary continence. MATERIAL AND 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. CONCLUSION: There was no significant difference between RRP groups as for the frequency of urinary incontinence.
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