Incontinence, Prostate Cancer
Conditions
Keywords
Prostate Cancer, Urinary Incontinence, Endoscopic Surgical Procedures
Brief summary
The researchers investigated whether endoscopic retrograde urethral interventions applied for various reasons after radical prostatectomy (RP) operation cause a change in urinary incontinence (UI) level, and if there is a change, whether it changes according to the endoscopic procedure time and the endoscopic instrument used.
Detailed description
Localized prostate cancer is usually treated with RP. The most common complications after RP are erectile dysfunction (ED) and UI. After RP, some patients may require retrograde endoscopic urethral intervention. In this study, researchers investigated whether there is a change in the UI level in patients that underwent retrograde urethral intervention after RP and whether this change was affected by the duration of the procedure and type of endoscopic device used. Methods: Eighteen patients were included in the study. The patients were divided into 3 groups based on the endoscopic device used: group 1 rigid cystoscopy, group 2 flexible cystoscopy, and group 3 semi-rigid ureterorenoscopy (URS). The Turkish version of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) and the number of pads used daily was questioned before the endoscopic procedure and 1 month after the procedure.
Interventions
PROCEDUREendoscopic surgical intervention
The researchers investigated whether endoscopic surgical procedures performed due to various indications (hematuria, urinary tract stone, suspected bladder mass) in the patient group who had undergone radical prostatectomy, caused a change in urinary incontinence level. The researchers divided the endoscopic instruments used into 3 groups and evaluated whether there was a difference in urinary incontinence level between rigid cystoscope, flexible cystoscope and ureterorenoscope groups.
Sponsors
Ankara Yildirim Beyazıt University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
52 Years to 84 Years
Healthy volunteers
No
Inclusion criteria
* Patients who have undergone radical prostatectomy * Patients that had undergone an endoscopic procedure 1 year after RP
Exclusion criteria
* Patients with urinary tract infection before the endoscopic procedure, * Urinary tract infection at 1st month follow-up * Central neurological deficit * History of adjuvant radiotherapy after RP * Bladder neck stenosis and urethral stenosis * Patients that had undergone endoscopic urethral intervention before this scheduled procedure * Patients who had a double J stent inserted during the endoscopic procedure and required a second endoscopic intervention * Patients that required the use of bipolar or monopolar cautery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) | 1 month | The ICIQ-UI Short Form is a questionnaire for evaluating the frequency, severity and impact on quality of life (QoL) of urinary incontinence in men and women in research and clinical practice across the world. Minimum score: 0, maximum score: 21. The higher the score, the higher the level of urinary incontinence is interpreted. |
| Daily pad use | 1 month | It refers to the number of pads used in 1 day due to urinary incontinence. |
Countries
Turkey (Türkiye)
Outcome results
None listed