Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany; Department of Urology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
Eur Urol. 2017 Jun;71(6):848-850. doi: 10.1016/j.eururo.2016.09.030. Epub 2016 Oct 12.
Urinary incontinence (UI) and erectile dysfunction (ED) after radical prostatectomy (RP) can impose a strong burden. While most studies focus on certain time points after RP when analyzing functional outcome, there is paucity of evidence on late functional recovery in patients with UI or ED at 12 mo after RP. Using longitudinal patient data from a large European single-center, we show that the chance of regaining continence among patients (n=974) with UI (≥1 pad/24h) at 12 mo after RP was 38.6% after 24 mo and 49.7% after 36 mo. The corresponding rates for patients (n=1115) with ED (defined as International Index of Erectile Function-5 score <18) at 12 mo after RP were 30.8% at 24 mo and 36.5% at 36 mo after RP. Patients with postoperative UI or ED 12 mo after RP should be counseled about their good chance of achieving continence or potency in the course of time.
We analyzed the probability of functional recovery among patients with urinary incontinence (UI) and erectile dysfunction (ED) 12 mo after radical prostatectomy. We found that up to 49.7% (36.5%) of patients with UI (ED) regain function within the next 24 mo and should be informed about these encouraging numbers.
根治性前列腺切除术后的尿失禁（UI）和勃起功能障碍（ED）会带来沉重的负担。虽然大多数研究在分析功能结果时集中在根治性前列腺切除术后的特定时间点，但关于 UI 或 ED 患者在根治性前列腺切除术后 12 个月时的晚期功能恢复的证据很少。利用来自欧洲单一中心的大型纵向患者数据，我们显示在根治性前列腺切除术后 12 个月时 UI（≥1 片/24 小时）患者（n=974）中恢复尿控的机会在 24 个月后为 38.6%，在 36 个月后为 49.7%。在根治性前列腺切除术后 12 个月时 ED（定义为国际勃起功能指数-5 评分<18）患者（n=1115）的相应比率为 24 个月时的 30.8%，36 个月时的 36.5%。在根治性前列腺切除术后 12 个月时患有术后 UI 或 ED 的患者应告知他们在一段时间内实现尿控或勃起功能的良好机会。
我们分析了根治性前列腺切除术后 12 个月时患有尿失禁（UI）和勃起功能障碍（ED）的患者的功能恢复概率。我们发现，多达 49.7%（36.5%）的 UI（ED）患者在接下来的 24 个月内恢复了功能，应告知他们这些令人鼓舞的数字。
