Modern RPP achieves excellent continence rates. The percentage of patients that achieve total urinary continence within 1 year postoperatively has been reported to range between 92% and 96%, depending on the definition used.4'5'16 Allowing for minimal leakage with strenuous exercise and use of one mini-pad per day, we quote our patients a continence rate of 98%. Continence following RPP is typically achieved early in the postoperative course, which has been suggested to constitute an advantage over RRP.12 Weldon etal. reported a return of continence with no routine pad use in 23% of patients at

1 month, 56% by 3 months and 90% by 6 months.16

Our own experience has been very similar. In an ongoing prospective quality of life study, 92% of patients reported use of no or a single pad at 6 months after RPP. By this point in time the patient's subjective quality of life in regards to urinary function and bother returned to baseline.17 Patients may, however, expect a further improvement of their continence up to 1 year following surgery.

Was this article helpful?

0 0
Naturally Cure Erectile Dysfunction

Naturally Cure Erectile Dysfunction

Whether we like it or not, for many men it gets increasingly difficult to perform sexually as the years advance.

Get My Free Ebook

Post a comment