Incontinence study

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brainsurgeon
Regular Member


Date Joined Jul 2009
Total Posts : 137
   Posted 6/5/2011 12:51 AM (GMT -6)   
Quote from Modern Medicine:

NEW YORK (Reuters Health) - Many men have some degree of incontinence after prostate surgery, but few are significantly bothered by it, according to a poll at one U.S. hospital.

Of 315 patients surveyed a year or more after radical prostatectomy, only a quarter said they never experienced any leakage.

Still, more than three-quarters said they didn't use pads in their underwear and only about 5% said they were significantly bothered by incontinence, the research team reported online May 14th in the Journal of Urology.

"The bottom line is that many men, after having their prostate removed, will have some impact on the way they urinate," said Dr. Erik Castle of the Mayo Clinic in Phoenix, who led the new work. "But the degree of the impact is minimal."

Men considering the various treatments for prostate cancer also face possible side effects such as incontinence and impotence, and getting useful information about how common these problems are is difficult, Dr. Castle said, because there are so many different ways of defining them.

"There is a lot of miscommunication," he told Reuters Health. "The goal of the study was to come up with a more detailed analysis of what men should expect after their prostate is removed."

The researchers sent out questionnaires to 600 men, from 42 to 82 years old, who'd had robot-assisted prostate surgery at their hospital.

The surveys focused on incontinence, asking how the patient's sex life, physical activity and social life were affected by it.

Just over two-thirds of the men responded. At least one year after their surgery, 78% said they didn't use pads in their underwear, while only 26% said they never leaked.

"The outcomes are actually pretty darn good," said Dr. Castle, adding that some of the older men might already have been leaking before they underwent surgery.

Men who used more than one pad a day - 17% -- most often leaked during exercise or when coughing and sneezing, and said their incontinence was most bothersome in relation to their sex life.

Less than 1% reported leaking all the time.

"We just wanted to get the message across that, 'Look, the vast majority of patients had some kinds of changes in their lifestyle but are still very happy,'" Dr. Castle said.

Just FYI
72 years old (1939) USA citizen
Prostatic carcinoma dxed June 2009 by PSA (7.0) and then Bx
PSAs yearly since 2001 ranged 1.52 to 7.0. RALP July 2009
PSAs 0 since

142
Forum Moderator


Date Joined Jan 2010
Total Posts : 6982
   Posted 6/5/2011 2:09 PM (GMT -6)   
Well, I for one am not "very happy" with my 1 or more pads a day at 19 months out.. I would have checked most of the possible boxes under any "does it affect" list.
 
Obviously they did not survery me sad
DaVinci 10/2009
My adjuvant IGRT journey (2010) -
www.healingwell.com/community/default.aspx?f=35&m=1756808

Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3734
   Posted 6/5/2011 2:21 PM (GMT -6)   
That is consistent with the study I found about 2 years ago, following 6000 men after RRP.
I posted it here around Sept 2009. Roughly 2/3 were continent (Leak free pad free) at 3 months. Of the remaining 1/3, 2/3 will be continent at 1 year. That leaves about 1/9 or 11% in the "lucky leaker" class with 142, others and me (until I got my sling).

Jeff

Ken S
Regular Member


Date Joined Nov 2006
Total Posts : 120
   Posted 6/6/2011 8:47 AM (GMT -6)   
142,

I'm with you.

My journey has been pretty much the same as yours (surgery, radiation) and like you wearing at least one pad a day. When I see any of my doctors and tell them I'm still wearing one pad a day (after 4 1/2 years) and they say "Oh, that's nothing", I always say it's not "nothing" to me.

I think Uro's like to consider guys with stress continence continent so their numbers look better.

Ken
Age 54 (2006) PSA: 2005 - 3.2, 2006 - 3.7
Biopsy 8/06, Gleason 6 (3+3), T1c
RRP 11/3/06 Post-Op Biopsy, Gleason 6 (3+3), T2c, right apical margin positive
IMRT (37 Treatments) 4/23/07 - 6/14/07
PSA: 7/10 - 0.02

Sleepless09
Veteran Member


Date Joined Jul 2009
Total Posts : 1267
   Posted 6/6/2011 9:04 AM (GMT -6)   
Hi brainsurgeon --- great to see your name on a post!

Of course, you may have been here recently and I missed you.

I trust all is well with you and you're keeping the Alps in place, just where they're supposed to be.

Interesting post on the incontinence study.

Sheldon AKA Sleepless
Age 67 in Apil '09 at news of 4 of 12 cores positive T2B and Gleason 3 + 3 and 5% to 25% PSA 1.5
Re-read of slides in June said Gleason 3 + 4 same four cores 5% to 15%
June 29 daVinci prostatectomy, Dr. Eric Estey, at Royal Alexandra Hospital Edmonton one night stay
From "knock out" to wake up in recovery less than two hours.  Actual surgery 70 minutes
Flew home to Winnipeg on July 3 after 5 nights in Ramada Inn  ---  perfect recovery spot!
Catheter out July 9
Final pathology is 3 + 4 Gleason 7, clear margins, clear nodes, T2C, sugeron says report is "excellent"
 
Oct 1st 09 -- dry at night, during day some stress issues.
Oct 31st padless 24/7 
 
First post op PSA Sept 09  less than 0.02
PSA on Oct 23, 2009 less than 0.02
PSA on Jan 8, 2010  less than 0.02
PSA on April 9, 2010 less than 0.02 
PSA on July 9, 2010 (one year) less than 0.02
  
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