Predicting time to recovery of continence after surgery

A group of German researchers has developed a method to predict the duration of urinary incontinence after radical prostatectomy based on potential risk factors.

Van Kampen et al. evaluated a variety of risk factors for incontinence in 104 patients after radical retropubic prostatectomy. Patients were considered to be continent when they stopped wearing incontinence pads, when 24- and 1-hour pad tests showed less than 2 g of urine loss, and when patients considered themselves continent.

They demonstrated that the amount of urine lost (i.e., expelled involuntarily) on the day of catheter withdrawal post-surgery was the single most important predictive factor of time to recovery of continence.

According to their estimates, the average time needed to regain continence was 8, 16, 29, 29 and 70 days in men who lost 2 to 50, 51 to 100, 101 to 200, 201 to 500 and > 500 g urine, respectively, on day 1. They have created a table that allows estimation of time to recovery of continence.

It will be important for these data to be confirmed by at least one other group of investigators — preferably in a larger number of patients treated at several different centers.

5 Responses

  1. I had this done 7 months ago and mostly in the afternoon I leak. The more I move around, the more it happens.

  2. Only 1 week since Foley removed but still draining with no control. Yes, this really sucks and very difficult to exercise, work or do any chores when it just continually leaks out.

  3. 10 months after my operation, and I still leak excessively. Change pads at least three times a day. Sometimes I wet in bed. Moving around causes leakage. I would sure like to know of any treatments to get rid of this problem.

  4. Dear Jess:

    You need to get one of your doctors to refer you to a urologist who specializes in male incontinence post-radical prostatectomy so that you can get properly evaluated and treated. There are most certainly ways to solve your problem — some of which are surgical, but such surgery may appropriate if the problem is as significant as you describe. What is more, there are most certainly a small number of urologists who specialize in treationg men with this problem.

  5. 2 years 4 months and I still use a pad a day. I do physical work and my current urologist said this might be the best to expect.

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