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Discrepancies in perception of urinary incontinence between patient and physician after robotic radical prostatectomy

Authors
 Seung Ryeol Lee  ;  Hong Wook Kim  ;  Jae Won Lee  ;  Woo Ju Jeong  ;  Koon Ho Rha  ;  Jang Hwan Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.51(6) : 883-887, 2010 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2010
MeSH
Aged ; Aged, 80 and over ; Biopsy ; Humans ; Laparoscopy/methods ; Male ; Middle Aged ; Perception ; Physician-Patient Relations ; Prostatectomy/adverse effects* ; Prostatectomy/methods ; Robotics ; Surveys and Questionnaires ; Treatment Outcome ; Urinary Incontinence/etiology*
Keywords
Radical prostatectomy ; urinary incontinence ; questionnaire
Abstract
PURPOSE: Reported incidence of urinary incontinence after a radical prostatectomy (RP) varies between studies. This may be due not only to the definition of incontinence applied, but also how the information is acquired. We investigated the differences in perception of post robot-assisted laparoscopic RP (RALP) urinary incontinence acquired through doctor interviews and patient-reported questionnaires. MATERIALS AND METHODS: Of 238 consecutive men who underwent RALP by a single surgeon between July 2005 and February 2008, we evaluated 66 men using the International Consultation on Incontinence Questionnaire (ICIQ) at various time points after surgery. Each patient's ICIQ results were considered to be the patient's perceptions of urinary incontinence. The physician at the same time directly interviewed the patients about the number of pads used and considered complete continence to be equivalent to the use of no pads or safety liners. RESULTS: Of the 66 patients, the physician reported that 34 (51.5%) had obtained complete continence. However, analysis of the questionnaires of these 34 patients revealed that only 5 (14.7%) patients reported that they never leaked during the past 4 weeks. Most patients (11 patients, 32.4%) who did not use any pad did in fact reported leakage of a small or moderate amount of urine about once a day. CONCLUSION: Our results indicate that there are discrepancies in the perception of urinary incontinence between doctor and patient after RALP. Nonuse of pads is not equivalent to obtaining complete urinary continence. Therefore, the number of pads used is not a good measure to determine the status of complete urinary continence.
Files in This Item:
T201002831.pdf Download
DOI
10.3349/ymj.2010.51.6.883
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jang Hwan(김장환) ORCID logo https://orcid.org/0000-0002-9056-7072
Kim, Hong Wook(김홍욱)
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Lee, Jae Won(이재원)
Jeong, Woo Ju(정우주)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101775
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