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@ARTICLE{Hatiboglu:128721,
author = {G. Hatiboglu and D. Teber and D. Tichy$^*$ and S. Pahernik
and B. Hadaschik and J. Nyarangi-Dix and M. Hohenfellner},
title = {{P}redictive factors for immediate continence after radical
prostatectomy.},
journal = {World journal of urology},
volume = {34},
number = {1},
issn = {1433-8726},
address = {Berlin},
publisher = {Springer},
reportid = {DKFZ-2017-04736},
pages = {113 - 120},
year = {2016},
abstract = {To identify predictive factors for immediate continence
after radical prostatectomy.A total of 1553 patients
underwent radical prostatectomy in a single institution (670
RRP, 883 RARP), had complete perioperative data and
follow-up for urinary continence and were included in this
prospective analysis. Immediate continence was defined as no
pad usage after catheter removal. Evaluated parameters
included age, body mass index, ECOG performance status,
erectile function, prostate volume, PSA, Gleason score,
tumor stage and D'Amico risk groups, as well as surgical
approach (RRP, RARP), surgeon volume, nerve-sparing,
lymphadenectomy, blood transfusions and duration of
catheterization.A total of 240 men $(15.5 \%)$ did not
require any pads 1 day or later after removal of the
transurethral catheter. Correlation of parameters with
immediate continence revealed significance for age
(p < 0.001), ECOG-score (p = 0.025), erectile function
(p = 0.001), nerve-sparing (p = 0.022), Gleason score
(p = 0.002) and surgeon volume (p ≤ 0.022).
Multivariate analyses identified IIEF-score >21
(p = 0.031), ECOG (p < 0.05), bilateral nerve-sparing
(p = 0.049), Gleason score <3 + 4 (p ≤ 0.028), less
blood transfusion (p ≤ 0.044) and surgeon volume
(p ≤ 0.042) as the remaining prognostic parameters for
immediate continence after radical prostatectomy. The type
of surgical approach (robotic vs. open radical
prostatectomy) did not yield significant
influence.Evaluating continence in a contemporary
prospective cohort revealed $15.5 \%$ of patients never
requiring a pad postoperatively. Predictive parameters for
immediate continence were erectile function, ECOG, bilateral
nerve-sparing, less blood transfusion and Gleason score.
Furthermore, the surgeon's experience but not his operative
technique had a significant impact on immediate
postoperative continence.},
cin = {C060},
ddc = {610},
cid = {I:(DE-He78)C060-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:25991601},
doi = {10.1007/s00345-015-1594-4},
url = {https://inrepo02.dkfz.de/record/128721},
}