High Chance of Late Recovery of Urinary and Erectile Function Beyond 12 Months After Radical Prostatectomy
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High Chance of Late Recovery of Urinary and Erectile Function Beyond 12 Months After Radical Prostatectomy. / Mandel, Philipp; Preisser, Felix; Graefen, Markus; Steuber, Thomas; Salomon, Georg; Haese, Alexander; Michl, Uwe; Huland, Hartwig; Tilki, Derya.
in: EUR UROL, Jahrgang 71, Nr. 6, 06.2017, S. 848-850.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - High Chance of Late Recovery of Urinary and Erectile Function Beyond 12 Months After Radical Prostatectomy
AU - Mandel, Philipp
AU - Preisser, Felix
AU - Graefen, Markus
AU - Steuber, Thomas
AU - Salomon, Georg
AU - Haese, Alexander
AU - Michl, Uwe
AU - Huland, Hartwig
AU - Tilki, Derya
N1 - Copyright © 2016 European Association of Urology. Published by Elsevier B.V. All rights reserved.
PY - 2017/6
Y1 - 2017/6
N2 - Urinary incontinence (UI) and erectile dysfunction (ED) after radical prostatectomy (RP) can impose a strong burden. While most studies focus on certain time points after RP when analyzing functional outcome, there is paucity of evidence on late functional recovery in patients with UI or ED at 12 mo after RP. Using longitudinal patient data from a large European single-center, we show that the chance of regaining continence among patients (n=974) with UI (≥1 pad/24h) at 12 mo after RP was 38.6% after 24 mo and 49.7% after 36 mo. The corresponding rates for patients (n=1115) with ED (defined as International Index of Erectile Function-5 score <18) at 12 mo after RP were 30.8% at 24 mo and 36.5% at 36 mo after RP. Patients with postoperative UI or ED 12 mo after RP should be counseled about their good chance of achieving continence or potency in the course of time.PATIENT SUMMARY: We analyzed the probability of functional recovery among patients with urinary incontinence (UI) and erectile dysfunction (ED) 12 mo after radical prostatectomy. We found that up to 49.7% (36.5%) of patients with UI (ED) regain function within the next 24 mo and should be informed about these encouraging numbers.
AB - Urinary incontinence (UI) and erectile dysfunction (ED) after radical prostatectomy (RP) can impose a strong burden. While most studies focus on certain time points after RP when analyzing functional outcome, there is paucity of evidence on late functional recovery in patients with UI or ED at 12 mo after RP. Using longitudinal patient data from a large European single-center, we show that the chance of regaining continence among patients (n=974) with UI (≥1 pad/24h) at 12 mo after RP was 38.6% after 24 mo and 49.7% after 36 mo. The corresponding rates for patients (n=1115) with ED (defined as International Index of Erectile Function-5 score <18) at 12 mo after RP were 30.8% at 24 mo and 36.5% at 36 mo after RP. Patients with postoperative UI or ED 12 mo after RP should be counseled about their good chance of achieving continence or potency in the course of time.PATIENT SUMMARY: We analyzed the probability of functional recovery among patients with urinary incontinence (UI) and erectile dysfunction (ED) 12 mo after radical prostatectomy. We found that up to 49.7% (36.5%) of patients with UI (ED) regain function within the next 24 mo and should be informed about these encouraging numbers.
U2 - 10.1016/j.eururo.2016.09.030
DO - 10.1016/j.eururo.2016.09.030
M3 - SCORING: Journal article
C2 - 27743754
VL - 71
SP - 848
EP - 850
JO - EUR UROL
JF - EUR UROL
SN - 0302-2838
IS - 6
ER -