Prevalence of Urinary Incontinence and Bladder Neck Stricture after Radical Prostatectomy in the Case of Localized Prostate Cancer at Imam Khomeini Hospital, Tehran, during 2009-2012
General Practitioner, Tehran University of Medical Sciences and Health Services, Uro Ancology Research Center, Tehran, Iran
Abstract
Introduction & Objective: Radical prostatectomy is one of the treatments for localized prostate cancer which has some complications such as urinary incontinence and bladder neck stricture. The purpose of this study was to evaluate the prevalence of urinary incontinence and bladder neck stenosis after radical prostatectomy. Materials & Methods: In a retrospective cross-sectional study, 150 prostate cancer patients, who underwent radical prostatectomy by a surgeon in Imam Khomeini Hospital between 2009 and 2012, were included. The patients were evaluated for post urinary incontinence 2 weeks, 3 months, 6 months, and 12 months postoperatively (withdrawal of the catheter). Also, bladder neck stricture was evaluated by requiring dilation of the urethra. Results: The mean age of the patients was 64.93±6.85 years. The rate of incontinency after two weeks, 3, 6, and 12 months was 25.33%, 13.33%, 10%, and 8.67%, respectively. Totally, 22 patients (14.67%) developed bladder neck stricture after a mean time of 3.974.55 months. There was no significant difference between bladder neck stricture and age, PSA, Gleason score and surgical grade. Conclusions: Today, radical prostatectomy surgery is the standard treatment for localized prostate cancer and has an acceptable rate of complications and can prevent the spread of disease and is considered the curative treatment of choice for a large number of patients.
Ayati,M , Ayati,E , Nourozi,M , Jamshidian,H , Ghasemi,F and Naser Zareh,M . (2013). Prevalence of Urinary Incontinence and Bladder Neck Stricture after Radical Prostatectomy in the Case of Localized Prostate Cancer at Imam Khomeini Hospital, Tehran, during 2009-2012. Iranian Journal of Surgery, 21(Summer), 29-36.
MLA
Ayati,M , , Ayati,E , , Nourozi,M , , Jamshidian,H , , Ghasemi,F , and Naser Zareh,M . "Prevalence of Urinary Incontinence and Bladder Neck Stricture after Radical Prostatectomy in the Case of Localized Prostate Cancer at Imam Khomeini Hospital, Tehran, during 2009-2012", Iranian Journal of Surgery, 21, Summer, 2013, 29-36.
HARVARD
Ayati M, Ayati E, Nourozi M, Jamshidian H, Ghasemi F, Naser Zareh M. (2013). 'Prevalence of Urinary Incontinence and Bladder Neck Stricture after Radical Prostatectomy in the Case of Localized Prostate Cancer at Imam Khomeini Hospital, Tehran, during 2009-2012', Iranian Journal of Surgery, 21(Summer), pp. 29-36.
CHICAGO
M Ayati, E Ayati, M Nourozi, H Jamshidian, F Ghasemi and M Naser Zareh, "Prevalence of Urinary Incontinence and Bladder Neck Stricture after Radical Prostatectomy in the Case of Localized Prostate Cancer at Imam Khomeini Hospital, Tehran, during 2009-2012," Iranian Journal of Surgery, 21 Summer (2013): 29-36,
VANCOUVER
Ayati M, Ayati E, Nourozi M, Jamshidian H, Ghasemi F, Naser Zareh M. Prevalence of Urinary Incontinence and Bladder Neck Stricture after Radical Prostatectomy in the Case of Localized Prostate Cancer at Imam Khomeini Hospital, Tehran, during 2009-2012. Iranian Journal of Surgery. 2013;21(Summer):29-36.