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Article

Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy

1
Department of Urology, University Hospital Frankfurt, Goethe University Frankfurt am Main, 60323 Frankfurt am Main, Germany
2
Cancer Prognostics and Health Outcomes Unit, Division of Urology, University of Montréal Health Center, Montréal, QC H3T 1C5, Canada
3
Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany
4
Dr. Senckenberg Institute of Pathology, University Hospital Frankfurt, 60590 Frankfurt am Main, Germany
5
Department of Urology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(6), 4738-4747; https://doi.org/10.3390/curroncol28060399
Received: 10 October 2021 / Revised: 7 November 2021 / Accepted: 13 November 2021 / Published: 15 November 2021
(This article belongs to the Special Issue New Frontiers in Prostate Cancer Diagnosis and Treatment)
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. View Full-Text
Keywords: urinary incontinence; radical prostatectomy; pad-test; incontinence; functional outcome urinary incontinence; radical prostatectomy; pad-test; incontinence; functional outcome
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MDPI and ACS Style

Hoeh, B.; Preisser, F.; Wenzel, M.; Humke, C.; Wittler, C.; Hohenhorst, J.L.; Volckmann-Wilde, M.; Köllermann, J.; Steuber, T.; Graefen, M.; Tilki, D.; Karakiewicz, P.I.; Becker, A.; Kluth, L.A.; Chun, F.K.H.; Mandel, P. Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy. Curr. Oncol. 2021, 28, 4738-4747. https://doi.org/10.3390/curroncol28060399

AMA Style

Hoeh B, Preisser F, Wenzel M, Humke C, Wittler C, Hohenhorst JL, Volckmann-Wilde M, Köllermann J, Steuber T, Graefen M, Tilki D, Karakiewicz PI, Becker A, Kluth LA, Chun FKH, Mandel P. Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy. Current Oncology. 2021; 28(6):4738-4747. https://doi.org/10.3390/curroncol28060399

Chicago/Turabian Style

Hoeh, Benedikt, Felix Preisser, Mike Wenzel, Clara Humke, Clarissa Wittler, Jan L. Hohenhorst, Maja Volckmann-Wilde, Jens Köllermann, Thomas Steuber, Markus Graefen, Derya Tilki, Pierre I. Karakiewicz, Andreas Becker, Luis A. Kluth, Felix K.H. Chun, and Philipp Mandel. 2021. "Correlation of Urine Loss after Catheter Removal and Early Continence in Men Undergoing Radical Prostatectomy" Current Oncology 28, no. 6: 4738-4747. https://doi.org/10.3390/curroncol28060399

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