Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
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Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy. / Cano Garcia, Cristina; Wenzel, Mike; Humke, Clara; Wittler, Clarissa; Dislich, Julius; Incesu, Reha-Baris; Köllermann, Jens; Steuber, Thomas; Graefen, Markus; Tilki, Derya; Karakiewicz, Pierre I; Kluth, Luis A; Preisser, Felix; Chun, Felix K H; Mandel, Philipp; Hoeh, Benedikt.
in: MEDICINA-LITHUANIA, Jahrgang 59, Nr. 6, 1153, 15.06.2023.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy
AU - Cano Garcia, Cristina
AU - Wenzel, Mike
AU - Humke, Clara
AU - Wittler, Clarissa
AU - Dislich, Julius
AU - Incesu, Reha-Baris
AU - Köllermann, Jens
AU - Steuber, Thomas
AU - Graefen, Markus
AU - Tilki, Derya
AU - Karakiewicz, Pierre I
AU - Kluth, Luis A
AU - Preisser, Felix
AU - Chun, Felix K H
AU - Mandel, Philipp
AU - Hoeh, Benedikt
PY - 2023/6/15
Y1 - 2023/6/15
N2 - Aim and Objectives: We aimed to test the impact of age on long-term urinary continence (≥12 months) in patients undergoing robotic-assisted radical prostatectomy. Methods and Materials: We relied on an institutional tertiary-care database to identify the patients who underwent robotic-assisted radical prostatectomy between January 2014 and January 2021. Patients were divided into three age groups: age group one (≤60 years), age group two (61-69 years) and age group three (≥70 years). Multivariable logistic regression models tested the differences between the age groups in the analyses addressing long-term urinary continence after robotic-assisted radical prostatectomy. Results: Of the 201 prostate cancer patients treated with robotic-assisted radical prostatectomy, 49 (24%) were assigned to age group one (≤60 years), 93 (46%) to age group two (61-69 years) and 59 (29%) to age group three (≥70 years). The three age groups differed according to long-term urinary continence: 90% vs. 84% vs. 69% for, respectively, age group one vs. two vs. three (p = 0.018). In the multivariable logistic regression, age group one (Odds Ratio (OR) 4.73, 95% CI 1.44-18.65, p = 0.015) and 2 (OR 2.94; 95% CI 1.23-7.29; p = 0.017) were independent predictors for urinary continence, compared to age group three. Conclusion: Younger age, especially ≤60 years, was associated with better urinary continence after robotic-assisted radical prostatectomy. This observation is important at the point of patient education and should be discussed in informed consent.
AB - Aim and Objectives: We aimed to test the impact of age on long-term urinary continence (≥12 months) in patients undergoing robotic-assisted radical prostatectomy. Methods and Materials: We relied on an institutional tertiary-care database to identify the patients who underwent robotic-assisted radical prostatectomy between January 2014 and January 2021. Patients were divided into three age groups: age group one (≤60 years), age group two (61-69 years) and age group three (≥70 years). Multivariable logistic regression models tested the differences between the age groups in the analyses addressing long-term urinary continence after robotic-assisted radical prostatectomy. Results: Of the 201 prostate cancer patients treated with robotic-assisted radical prostatectomy, 49 (24%) were assigned to age group one (≤60 years), 93 (46%) to age group two (61-69 years) and 59 (29%) to age group three (≥70 years). The three age groups differed according to long-term urinary continence: 90% vs. 84% vs. 69% for, respectively, age group one vs. two vs. three (p = 0.018). In the multivariable logistic regression, age group one (Odds Ratio (OR) 4.73, 95% CI 1.44-18.65, p = 0.015) and 2 (OR 2.94; 95% CI 1.23-7.29; p = 0.017) were independent predictors for urinary continence, compared to age group three. Conclusion: Younger age, especially ≤60 years, was associated with better urinary continence after robotic-assisted radical prostatectomy. This observation is important at the point of patient education and should be discussed in informed consent.
KW - Male
KW - Humans
KW - Middle Aged
KW - Infant
KW - Child, Preschool
KW - Child
KW - Adolescent
KW - Young Adult
KW - Adult
KW - Aged
KW - Urinary Incontinence/epidemiology
KW - Robotic Surgical Procedures/adverse effects
KW - Prostate
KW - Prostatectomy/adverse effects
KW - Prostatic Neoplasms/surgery
KW - Recovery of Function
U2 - 10.3390/medicina59061153
DO - 10.3390/medicina59061153
M3 - SCORING: Journal article
C2 - 37374357
VL - 59
JO - MEDICINA-LITHUANIA
JF - MEDICINA-LITHUANIA
SN - 1010-660X
IS - 6
M1 - 1153
ER -