Urinary continence after salvage radiation therapy following radical prostatectomy, assessed by a self‐administered questionnaire: a prospective study

OBJECTIVE To evaluate urinary continence after salvage radiotherapy following radical prostatectomy (RP) for clinically localized prostate cancer. PATIENTS AND METHODS In all, 145 men had a retropubic RP in our department between 1992 and 2000. From this group, salvage radiotherapy with the dose of...

Full description

Saved in:
Bibliographic Details
Published in:BJU international 2004-09, Vol.94 (4), p.521-523
Main Authors: Fontaine, Eric, Ben Mouelli, Sami, Thomas, Laurent, Otmezguine, Yves, Beurton, Daniel
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Genital system. Mammary gland
Humans
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Patient Satisfaction
Postoperative Complications - prevention & control
Prospective Studies
prostate cancer
Prostate-Specific Antigen - blood
Prostatectomy - methods
Prostatic Neoplasms - blood
Prostatic Neoplasms - radiotherapy
Prostatic Neoplasms - surgery
radiation therapy
radical prostatectomy
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Salvage Therapy - adverse effects
Surveys and Questionnaires
Tumors of the urinary system
urinary incontinence
Urinary Incontinence - prevention & control
Urinary tract. Prostate gland
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:OBJECTIVE To evaluate urinary continence after salvage radiotherapy following radical prostatectomy (RP) for clinically localized prostate cancer. PATIENTS AND METHODS In all, 145 men had a retropubic RP in our department between 1992 and 2000. From this group, salvage radiotherapy with the dose of 65 Gy was given to 18 patients for a rising prostatic specific antigen (PSA) level. The mean (range) age at RP was 63 (50–72) years and the initial PSA level 14.95  (4.8–34) ng/mL. The radiotherapy was given at 46 (6–96) months after RP. A self‐administered questionnaire about their urinary status was mailed to the patients before and 18 months after radiotherapy. The mean follow‐up after radiotherapy was 34 (20–70) months. RESULTS Before radiotherapy, 17 patients were continent (defining continence as no regular use of pads). After salvage radiotherapy, 16 men had had no change in their urinary status, even for the one patient using pads. One patient with stress urinary incontinence showed a slight worsening of his urinary status after radiotherapy. Another patient who was continent before radiotherapy developed urgency with no urinary leakage. Fourteen men stated that they were very satisfied or satisfied about their urinary status after radiotherapy and four were mildly satisfied. Nine would undergo radiotherapy again even with their present continence status and nine probably would. CONCLUSION Using an anonymous self‐administered questionnaire, salvage radiotherapy for a rising PSA level seems to be safe and does not worsen the continence achieved after RP in most patients.
ISSN:1464-4096
1464-410X
DOI:10.1111/j.1464-410X.2004.04995.x