1361 RADICAL RETROPUBIC PROSTATECTOMY IS POSSIBLE WITH GOOD FUNCTIONAL RESULTS IN PATIENTS WITH PARKINSONS DISEASE OR STATUS POST STROKE. RESULTS FROM MORE THAN 13000 PATIENTS (2012)

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence - Evaluation & Therapy III1 Apr 20121361 RADICAL RETROPUBIC PROSTATECTOMY IS POSSIBLE WITH GOOD FUNCTIONAL RESULTS IN PATIENTS WITH PARKINSONS DISEASE OR STATUS POST STROKE. RESULTS FROM MORE THAN 13000 PATIENTS Uwe Michl, Markus Graefen, Alexander Haese, Georg Salomon, Hans Heinzer, Thorsten Schlomm, Thomas Steuber, Hartwig Huland, and Pierre Tennstedt Uwe MichlUwe Michl Hamburg, Germany More articles by this author , Markus GraefenMarkus Graefen Hamburg, Germany More articles by this author , Alexander HaeseAlexander Haese Hamburg, Germany Hamburg, Germany More articles by this author , Georg SalomonGeorg Salomon Hamburg, Germany More articles by this author , Hans HeinzerHans Heinzer Hamburg, Germany More articles by this author , Thorsten SchlommThorsten Schlomm Hamburg, Germany More articles by this author , Thomas SteuberThomas Steuber Hamburg, Germany More articles by this author , Hartwig HulandHartwig Huland Hamburg, Germany More articles by this author , and Pierre TennstedtPierre Tennstedt Hamburg, Germany More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1744AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The objective of this study was evaluation of Parkinsons disease (PD) and status post stroke (SPSt) on functional results after radical retropubic prostatectomy with validated questionnaires. METHODS Between January 1996 and June 2011. 13085 patients underwent radical retropubic prostatectomy. We identified 23 patients with PD and 110 with SPSt. Pre- and postoperative potency was evaluated with the IIEF5 questionnaire. Postoperative evaluation was done with the QLQ-C30 and ICS-BPHsf. All patients were mailed annually. For all patients with neurological disease we performed a 1:3 propensity score match with otherwise healthy patients (MP). RESULTS Of the 13085 patients, sufficient data and comparable match patients were available for 62 of the SPSt pts., and 15 of the PD pts., making up 231 matched patients. Rating the mean IIEF5 score, pre- and postoperative results between SPSt, PD, and MP were comparable (15.37/7.07, 16.0/7.03, 16.76/8.49). 2.2 % of the SPSt, 10.0 % of the PD, and 1.2 % of the MP had strong urge all of the time (ICS-BPHsf Q6), p < 0.05 This was also the case for urge incontinence (10.87 %, 30.0 %, 4.76%, ICS-BPHsf Q7: sometimes). Severe stress incontinence while coughing was seldom (4.35 %, 10.0 %, 2.88 % ICS-BPHsf Q8: most or all of the time), although patients with SPSt or PD were slightly worse p: < 0.05. QoL was good for all three groups 64.5 %, 66.7 %, 84.4 % (ICS-BPH sf Q 11: no problem or bit of a problem), but again better for patients without neurological disorders. CONCLUSIONS Radical prostatectomy in patients with SPSt or PD can be performed with acceptable functional results. Limitations: data on preoperative continence or micturition were not available. Also, we cant offer a comparison with with functional outcome following radiotherapy. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e552 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Uwe Michl Hamburg, Germany More articles by this author Markus Graefen Hamburg, Germany More articles by this author Alexander Haese Hamburg, Germany Hamburg, Germany More articles by this author Georg Salomon Hamburg, Germany More articles by this author Hans Heinzer Hamburg, Germany More articles by this author Thorsten Schlomm Hamburg, Germany More articles by this author Thomas Steuber Hamburg, Germany More articles by this author Hartwig Huland Hamburg, Germany More articles by this author Pierre Tennstedt Hamburg, Germany More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...