The Journal of Urology
Volume 183, Issue 2 , Pages 629-633 , February 2010

Risk of Urinary Incontinence Following Prostatectomy: The Role of Physical Activity and Obesity

  • Kathleen Y. Wolin

      Affiliations

    • Corresponding Author InformationCorrespondence: Department of Surgery, Washington University School of Medicine in St. Louis 660 S Euclid Ave., Box 8100, St. Louis, Missouri 63110 (telephone: 314-454-7958)
    • ,
  • Jason Luly
    • ,
  • Siobhan Sutcliffe
    • ,
  • Gerald L. Andriole

      Affiliations

    • Financial interest and/or other relationship with Aeterna Zentaris, Amgen, Antigenics, Endo Pharmaceuticals, Envisioneering, Ferring Pharmaceuticals, GlaxoSmith Kline, Nema Steba, Onconome, Veridex LLC, Viking Medical and Zeneca.
    • ,
  • Adam S. Kibel

Received 22 May 2009

References 

  1. Han M, Partin AW, Pound CR, et al. Long-term biochemical disease-free and cancer-specific survival following anatomic radical retropubic prostatectomy (The 15-year Johns Hopkins experience). Urol Clin North Am. 2001;28:555
  2. Hull GW, Rabbani F, Abbas F, et al. Cancer control with radical prostatectomy alone in 1,000 consecutive patients. J Urol. 2002;167:528
  3. Roehl KA, Han M, Ramos CG, et al. Cancer progression and survival rates following anatomical radical retropubic prostatectomy in 3,478 consecutive patients: long-term results. J Urol. 2004;172:910
  4. Talcott JA, Clark JA. Quality of life in prostate cancer. Eur J Cancer. 2005;41:922
  5. Shamliyan T, Wyman J, Bliss DZ, et al. Prevention of urinary and fecal incontinence in adults. Evid Rep Technol Assess (Full Rep). 2007;161:1
  6. Santis WF, Hoffman MA, Dewolf WC. Early catheter removal in 100 consecutive patients undergoing radical retropubic prostatectomy. BJU Int. 2000;85:1067
  7. Weber BA, Roberts BL, Chumbler NR, et al. Urinary, sexual, and bowel dysfunction and bother after radical prostatectomy. Urol Nurs. 2007;27:527
  8. Loeb S, Smith ND, Roehl KA, et al. Intermediate-term potency, continence, and survival outcomes of radical prostatectomy for clinically high-risk or locally advanced prostate cancer. Urology. 2007;69:1170
  9. Ukoli FA, Lynch BS, Adams-Campbell LL. Radical prostatectomy and quality of life among African Americans. Ethn Dis. 2006;16:988
  10. Sanda MG, Dunn RL, Michalski J, et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358:1250
  11. Robinson JW, Donnelly BJ, Coupland K, et al. Quality of life 2 years after salvage cryosurgery for the treatment of local recurrence of prostate cancer after radiotherapy. Urol Oncol. 2006;24:472
  12. Walsh PC, Marschke PL. Intussusception of the reconstructed bladder neck leads to earlier continence after radical prostatectomy. Urology. 2002;59:934
  13. Paparel P, Akin O, Sandhu JS, et al. Recovery of urinary continence after radical prostatectomy: association with urethral length and urethral fibrosis measured by preoperative and postoperative endorectal magnetic resonance imaging. Eur Urol. 2008;55:629
  14. Walsh PC, Donker PJ. Impotence following radical prostatectomy: insight into etiology and prevention 1982. J Urol. 2002;167:1005
  15. Menon M, Muhletaler F, Campos M, et al. Assessment of early continence after reconstruction of the periprostatic tissues in patients undergoing computer assisted (robotic) prostatectomy: results of a 2 group parallel randomized controlled trial. J Urol. 2008;180:1018
  16. Mulholland TL, Huynh PN, Huang RR, et al. Urinary incontinence after radical retropubic prostatectomy is not related to patient body mass index. Prostate Cancer Prostatic Dis. 2006;9:153
  17. Anast JW, Sadetsky N, Pasta DJ, et al. The impact of obesity on health related quality of life before and after radical prostatectomy (data from CaPSURE). J Urol. 2005;173:1132
  18. Montgomery JS, Gayed BA, Hollenbeck BK, et al. Obesity adversely affects health related quality of life before and after radical retropubic prostatectomy. J Urol. 2006;176:257
  19. Freedland SJ, Haffner MC, Landis PK, et al. Obesity does not adversely affect health-related quality-of-life outcomes after anatomic retropubic radical prostatectomy. Urology. 2005;65:1131
  20. Ahlering TE, Eichel L, Edwards R, et al. Impact of obesity on clinical outcomes in robotic prostatectomy. Urology. 2005;65:740
  21. van Roermund JG, van Basten JP, Kiemeney LA, et al. Impact of obesity on surgical outcomes following open radical prostatectomy. Urol Int. 2009;82:256
  22. Kikuchi A, Niu K, Ikeda Y, et al. Association between physical activity and urinary incontinence in a community-based elderly population aged 70 years and over. Eur Urol. 2007;52:868
  23. Smoger SH, Felice TL, Kloecker GH. Urinary incontinence among male veterans receiving care in primary care clinics. Ann Intern Med. 2000;132:547
  24. Muscatello DJ, Rissel C, Szonyi G. Urinary symptoms and incontinence in an urban community: prevalence and associated factors in older men and women. Intern Med J. 2001;31:151
  25. Schmidbauer J, Temml C, Schatzl G, et al. Risk factors for urinary incontinence in both sexes (Analysis of a health screening project). Eur Urol. 2001;39:565
  26. Van Oyen H, Van Oyen P. Urinary incontinence in Belgium; prevalence, correlates and psychosocial consequences. Acta Clin Belg. 2002;57:207
  27. Nelson RL, Furner SE. Risk factors for the development of fecal and urinary incontinence in Wisconsin nursing home residents. Maturitas. 2005;52:26
  28. Brown JA, Rodin DM, Lee B, et al. Laparoscopic radical prostatectomy and body mass index: an assessment of 151 sequential cases. J Urol. 2005;173:442
  29. Herman MP, Raman JD, Dong S, et al. Increasing body mass index negatively impacts outcomes following robotic radical prostatectomy. JSLS. 2007;11:438

 Supported by Grant R01CA112028 from the National Cancer Institute.

 See Editorial on page 427.

 For another article on a related topic see page 793.

PII: S0022-5347(09)02623-8

doi: 10.1016/j.juro.2009.09.082

The Journal of Urology
Volume 183, Issue 2 , Pages 629-633 , February 2010

Article Tools

* Image Usage & Resolution