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Impact of Age on Long-Term Urinary Continence after Robotic-Assisted Radical Prostatectomy

Authors :
Cristina Cano Garcia
Mike Wenzel
Clara Humke
Clarissa Wittler
Julius Dislich
Reha-Baris Incesu
Jens Köllermann
Thomas Steuber
Markus Graefen
Derya Tilki
Pierre I. Karakiewicz
Luis A. Kluth
Felix Preisser
Felix K. H. Chun
Philipp Mandel
Benedikt Hoeh
Source :
Medicina, Vol 59, Iss 6, p 1153 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

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.

Details

Language :
English
ISSN :
16489144 and 1010660X
Volume :
59
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Medicina
Publication Type :
Academic Journal
Accession number :
edsdoj.107eb5d6225640f18bf105c39b7d5c6f
Document Type :
article
Full Text :
https://doi.org/10.3390/medicina59061153