Does the Presence of Preoperative LUTS Affect Urinary Outcomes after Radical Prostatectomy?

Ziho Lee, Shailen S. Sehgal, David I. Lee

Research output: Contribution to journalReview articlepeer-review

Abstract

Urinary incontinence is one of the most common adverse effects after radical prostatectomy (RP). Preoperative lower urinary tract symptoms (LUTS), which increase in prevalence with advancing age, have been hypothesized to be related to postoperative urinary continence. We review the literature on the role of preoperative LUTS on postoperative urinary function after RP in patients with clinically localized prostate cancer. The precise role of preoperative LUTS on postoperative urinary continence after RP is unclear due to conflicting conclusions from numerous reports. However, correlating preoperative LUTS to postoperative urinary incontinence may be particularly relevant in three instances: in patients with preoperative voiding or emptying LUTS, in predicting early postoperative urinary continence, and in patients with preoperative urinary incontinence. Also, RP in patients with moderate to severe preexisting LUTS may improve postoperatively as a result of relief of obstruction.

Original languageEnglish (US)
Pages (from-to)160-165
Number of pages6
JournalCurrent Bladder Dysfunction Reports
Volume8
Issue number2
DOIs
StatePublished - Jun 2013
Externally publishedYes

Keywords

  • Benign prostatic hyperplasia
  • Lower urinary tract symptoms
  • Prostate cancer
  • Radical prostatectomy
  • Urinary continence

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology

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