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• W2125751968 abstract "No AccessJournal of UrologyClinical Urology: Original Article1 Mar 1995Urological Neurology and Urodynamics: Urodynamics and the Etiology of Post-Prostatectomy Urinary Incontinence: The Initial Columbia Experience Erik T. Goluboff, David T. Chang, Carl A. Olsson, and Steven A. Kaplan Erik T. GoluboffErik T. Goluboff More articles by this author , David T. ChangDavid T. Chang More articles by this author , Carl A. OlssonCarl A. Olsson More articles by this author , and Steven A. KaplanSteven A. Kaplan More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67629-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Post-prostatectomy incontinence is a disabling disorder. Urodynamic studies in 56 patients with post-prostatectomy incontinence were reviewed to determine its etiology. Of the patients 31 had undergone transurethral prostatectomy and 25 radical retropubic prostatectomy. After careful history and neurourological examination, uroflowmetry, post-void residual determination and synchronous multichannel video pressure/flow studies were done. The most common etiology for incontinence was detrusor instability alone, which was present in 34 patients (61%), including 24 (77%) after transurethral resection of the prostate and 10 (40%) after radical retropubic prostatectomy. Stress incontinence alone was present in only 3 patients (5%), including 1 (3%) after transurethral resection of the prostate and 2 (8%) after radical retropubic prostatectomy. Detrusor instability with stress incontinence was present in 19 patients (34%), including 6 (19%) after transurethral resection of the prostate and 13 (52%) after radical retropubic prostatectomy. Of these 19 patients 4 (21%) had poorly compliant bladders. This study demonstrates that stress incontinence alone is a relatively rare cause of post-prostatectomy incontinence, with detrusor instability present in more than 90% of the patients. Accurate diagnosis of post-prostatectomy incontinence etiology could ensure proper treatment for this disorder. References 1 : Complications of transurethral surgery. In: Complications of Urologic Surgery. Edited by . Philadelphia: W. B. Saunders1990: 355. Google Scholar 2 : Perioperative and postoperative complications from bilateral pelvic lymphadenectomy and radical retropubic prostatectomy. J. Urol.1987; 137: 1189. Link, Google Scholar 3 : Postprostatectomy incontinence: pathophysiology, evaluation, and management. Urol. Clin. N. Amer.1991; 18: 229. Google Scholar 4 : Continence following nerve-sparing radical prostatectomy. J. Urol.1989; 142: 1227. 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Google Scholar From the Department of Urology, Squier Urologic Clinic, Columbia-Presbyterian Medical Center, New York, New York© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTWISS C, MARTIN S, SHORE R and LEPOR H (2018) A CONTINENCE INDEX PREDICTS THE EARLY RETURN OF URINARY CONTINENCE AFTER RADICAL RETROPUBIC PROSTATECTOMYJournal of Urology, VOL. 164, NO. 4, (1241-1247), Online publication date: 1-Oct-2000.FRANKE J, GILBERT W, GRIER J, KOCH M, SHYR Y and SMITH J (2018) EARLY POST-PROSTATECTOMY PELVIC FLOOR BIOFEEDBACKJournal of Urology, VOL. 163, NO. 1, (191-193), Online publication date: 1-Jan-2000.FICAZZOLA M and NITTI V (2018) THE ETIOLOGY OF POST-RADICAL PROSTATECTOMY INCONTINENCE AND CORRELATION OF SYMPTOMS WITH URODYNAMIC FINDINGSJournal of Urology, VOL. 160, NO. 4, (1317-1320), Online publication date: 1-Oct-1998.CHANG P, TSAI L, HUANG S, WANG T, HSIEH M and TSUI K (2018) THE EARLY EFFECT OF PELVIC FLOOR MUSCLE EXERCISE AFTER TRANSURETHRAL PROSTATECTOMYJournal of Urology, VOL. 160, NO. 2, (402-405), Online publication date: 1-Aug-1998.GOLUBOFF E, SAIDI J, MAZER S, BAGIELLA E, HEITJAN D, BENSON M and OLSSON C (2018) URINARY CONTINENCE AFTER RADICAL PROSTATECTOMY: THE COLUMBIA EXPERIENCEJournal of Urology, VOL. 159, NO. 4, (1276-1280), Online publication date: 1-Apr-1998.Nitti V, Kim Y and Combs A (2018) Voiding Dysfunction Following Transurethral Resection of the Prostate: Symptoms and Urodynamic FindingsJournal of Urology, VOL. 157, NO. 2, (600-603), Online publication date: 1-Feb-1997.Hammerer P and Huland H (2018) Urodynamic Evaluation of Changes in Urinary Control After Radical Retropubic ProstatectomyJournal of Urology, VOL. 157, NO. 1, (233-236), Online publication date: 1-Jan-1997.Litwiller S, Kim K, Fone P, deVere White R and Stone A (2018) Post-Prostatectomy incontinence and the Artificial Urinary Sphincter: A Long-Term Study of Patient Satisfaction and Criteria for SuccessJournal of Urology, VOL. 156, NO. 6, (1975-1980), Online publication date: 1-Dec-1996.Leach G, Trockman B, Wong A, Hamilton J, Haab F and Zimmern P (2018) Post-Prostatectomy Incontinence: Urodynamic Findings and Treatment OutcomesJournal of Urology, VOL. 155, NO. 4, (1256-1259), Online publication date: 1-Apr-1996. Volume 153Issue 3SMarch 1995Page: 1034-1037 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Erik T. Goluboff More articles by this author David T. Chang More articles by this author Carl A. Olsson More articles by this author Steven A. Kaplan More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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