What Parameters Affect Continence after Radical Prostatectomy?
Research type
Research Study
Full title
What Parameters Affect Continence after Radical Prostatectomy?
IRAS ID
208095
Contact name
Ian Rudd
Contact email
Duration of Study in the UK
0 years, 1 months, 22 days
Research summary
Introduction
Radical prostatectomy (RP) is a commonly used procedure for the treatment of localised prostate cancer. Over 6000 are performed in the UK each year. Urinary incontinence after RP is a common complication of RP and has a significant detrimental effect on quality of life.Relevant Literature
There are non-randomised studies showing that laparoscopic or robotic assisted laparoscopic prostatectomy (RALP) results in better outcomes compared to open procedures although only in the short term. Nerve sparing procedures are also associated with a reduced incidence of urinary incontinence. Little is otherwise known about what parameters influence urinary incontinence after RP.Aims
We want to assess urinary incontinence outcomes in relation to age, prostate size, BMI (body mass index), nerve sparing procedures, bladder neck sparing procedures, previous trans-urethral resection of prostate (TURP) surgery, training cases and extended lymph node dissections.Design
A prospectively collected database of 605 consecutive RALPs by a single surgeon (Mr Ben Eddy) already exists as part of the national Surgical Outcomes Audit of Radical Prostatectomy coordinated by the British Association of Urological Surgeons (BAUS). The local audit Reference Number is SS/025/14. Incontinence pad usage and ICIQ (a validated incontinence questionnaire) scores are monitored at 6 weeks, 3, 6, 12, 18 and 24 months.REC name
N/A
REC reference
N/A