Contemporary trends in radical prostatectomy and predictors of recovery of urinary continence in men aged over 70 years: Comparisons between cohorts aged over 70 and less than 70 years

Young Ju Lee, Jin Woo Jung, Sangchul Lee, Sang Wook Lee, Jeong Hyun Kim, Sung Kyu Hong, Seok Soo Byun, Sang Eun Lee, Seong Jin Jeong

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Abstract

We evaluated contemporary trends in radical prostatectomy (RP) in men aged >70 years and investigated associations of selected variables with recovery of urinary continence (UC) in two age groups: >70 and ≤ 70 years. A retrospective cohort of 2301 eligible patients attending our institution from 2004 to 2015 was reviewed. Patients were divided into two groups based on age at surgery (>70 years [n = 610] vs 70 years [n = 1691]) and four groups by year of surgery. Over the study period, the proportion of patients aged >70 years gradually increased up to 30.0%, and the rate of robot-assisted RP and neurovascular bundle (NVB) saving increased continually to 80.0% and 67.4% of older patients, respectively. Although the rate of recovery of UC within 12 months (3 months) in patients aged >70 years was lower than that in those aged ≤ 70 years (81.5% [52.6%] vs 88.6% [60.9%], respectively; both P < 0.001), the gap between age groups in the rate of recovery within 12 months narrowed from the second quarter of the study period.

Original languageEnglish
Pages (from-to)280-286
Number of pages7
JournalAsian journal of andrology
Volume22
Issue number3
DOIs
StatePublished - 1 May 2020

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Keywords

  • elderly
  • predictor
  • prostate cancer
  • radical prostatectomy
  • urinary incontinence

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