Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy
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Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy. / Hoeh, Benedikt; Preisser, Felix; Wenzel, Mike; Humke, Clara; Wittler, Clarissa; Hohenhorst, Jan L; Volckmann-Wilde, Maja; Köllermann, Jens; Steuber, Thomas; Graefen, Markus; Tilki, Derya; Karakiewicz, Pierre I; Becker, Andreas; Kluth, Luis A; Chun, Felix K H; Mandel, Philipp.
In: CURR ONCOL, Vol. 28, No. 6, 15.11.2021, p. 4738-4747.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy
AU - Hoeh, Benedikt
AU - Preisser, Felix
AU - Wenzel, Mike
AU - Humke, Clara
AU - Wittler, Clarissa
AU - Hohenhorst, Jan L
AU - Volckmann-Wilde, Maja
AU - Köllermann, Jens
AU - Steuber, Thomas
AU - Graefen, Markus
AU - Tilki, Derya
AU - Karakiewicz, Pierre I
AU - Becker, Andreas
AU - Kluth, Luis A
AU - Chun, Felix K H
AU - Mandel, Philipp
PY - 2021/11/15
Y1 - 2021/11/15
N2 - BACKGROUND: To determine the correlation between urine loss in PAD-test after catheter removal, and early urinary continence (UC) in RP treated patients.METHODS: Urine loss was measured by using a standardized, validated PAD-test within 24 h after removal of the transurethral catheter, and was grouped as a loss of <1, 1-10, 11-50, and >50 g of urine, respectively. Early UC (median: 3 months) was defined as the usage of no or one safety-pad. Uni- and multivariable logistic regression models tested the correlation between PAD-test results and early UC. Covariates consisted of age, BMI, nerve-sparing approach, prostate volume, and extraprostatic extension of tumor.RESULTS: From 01/2018 to 03/2021, 100 patients undergoing RP with data available for a PAD-test and early UC were retrospectively identified. Ultimately, 24%, 47%, 15%, and 14% of patients had a loss of urine <1 g, 1-10 g, 11-50 g, and >50 g in PAD-test, respectively. Additionally, 59% of patients reported to be continent. In multivariable logistic regression models, urine loss in PAD-test predicted early UC (OR: 0.21 vs. 0.09 vs. 0.03; for urine loss 1-10 g vs. 11-50 g vs. >50 g, Ref: <1 g; all p < 0.05).CONCLUSIONS: Urine loss after catheter removal strongly correlated with early continence as well as a severity in urinary incontinence.
AB - BACKGROUND: To determine the correlation between urine loss in PAD-test after catheter removal, and early urinary continence (UC) in RP treated patients.METHODS: Urine loss was measured by using a standardized, validated PAD-test within 24 h after removal of the transurethral catheter, and was grouped as a loss of <1, 1-10, 11-50, and >50 g of urine, respectively. Early UC (median: 3 months) was defined as the usage of no or one safety-pad. Uni- and multivariable logistic regression models tested the correlation between PAD-test results and early UC. Covariates consisted of age, BMI, nerve-sparing approach, prostate volume, and extraprostatic extension of tumor.RESULTS: From 01/2018 to 03/2021, 100 patients undergoing RP with data available for a PAD-test and early UC were retrospectively identified. Ultimately, 24%, 47%, 15%, and 14% of patients had a loss of urine <1 g, 1-10 g, 11-50 g, and >50 g in PAD-test, respectively. Additionally, 59% of patients reported to be continent. In multivariable logistic regression models, urine loss in PAD-test predicted early UC (OR: 0.21 vs. 0.09 vs. 0.03; for urine loss 1-10 g vs. 11-50 g vs. >50 g, Ref: <1 g; all p < 0.05).CONCLUSIONS: Urine loss after catheter removal strongly correlated with early continence as well as a severity in urinary incontinence.
U2 - 10.3390/curroncol28060399
DO - 10.3390/curroncol28060399
M3 - SCORING: Journal article
C2 - 34898569
VL - 28
SP - 4738
EP - 4747
JO - CURR ONCOL
JF - CURR ONCOL
SN - 1198-0052
IS - 6
ER -