Incontinence following radical prostatectomy: incidence, patients' point of view, and management

In the Repair study, 55% of radical prostatectomy patients present urinary disorders following surgery. No difference was observed between the laparoscopic and the open approaches in term of continence scores. One third of patients operated at least eight months earlier, have moderate urinary disorders (30%) to serious urinary disorders (5%). After eight months following surgery, 33% still wear urinary protections during daytime. In general, urologists start to take care of urinary disorders in the first four weeks following surgery. 90% of patients with urinary disorders are managed by kinesitherapy. Finally, it appears in Repair study that urinary incontinence is much well accepted by the patients when discussed preoperatively with the surgeon. (C) 2007 Elsevier Masson SAS. Tous droits reserves.