2026-04-18T07:04:59Zhttps://recercat.cat/oai/request
oai:recercat.cat:2445/1732292025-12-05T12:34:40Zcom_2072_1057col_2072_478916col_2072_478917
RECERCAT author Holck Storås, Anne author Sanda, Martin G. author Garín, Olatz author Chang, Peter author Patil, Dattatraya author Crociani, Catrina M. author Suárez-Novo, José Francisco author Cvancarova, Milada author Håvard Loge, Jon author Fossa, Sophie D. 2021-01-19T18:17:13Z2021-01-19T18:17:13Z2020-04-012020-12-21T13:11:52Z Objective: To compare pre- and post-radical prostatectomy (RP) responses in the urinary incontinence domain of Expanded Prostate Cancer Index Composite-26 (EPIC-26) in cohorts from the USA, Norway and Spain. Methods: A prospective study of pre- and 1-year post-treatment responses in American (n=537), Norwegian (n=520) and Spanish (n=111) patients, establishing the prevalence of urinary incontinence defined according to published dichotomization. Thereafter we focused on the response alternatives "occasional dribbling", pad use and problem experience. A multivariate logistic regression analysis (significance level <= 0.01) considered risk factors for "not retaining total control". Results: Compared to the European men, the American patients were younger, healthier and more presented with lower risk tumors. Before RP no inter-country differences emerged the prevalence of urinary incontinence (6%). One-year post-treatment urinary incontinence was described by 30% of the American and 41% of the European patients, occasional dribbling being the most frequent type of urinary leakage. In the multivariate analysis the risk of "not retaining total control" increased almost 3-fold in European compared to American patients, with age and co-morbidity being additional independent risk factor. Conclusion: After RP patients from Spain and Norway reported more unfavorable outcomes by EPIC-26 than the American patients to most of the urinary incontinence items, the difference between the European and American patients remaining in the multivariate analysis. The most frequent post-RP response alternative "occasional dribbling" needs to be validated with pad weighing as "gold standard". (C) 2020 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V. cc by-nc-nd (c) Editorial Office of Asian Journal of Urology, 2020 http://creativecommons.org/licenses/by-nc-nd/3.0/es/ info:eu-repo/semantics/openAccess Càncer de pròstata Incontinència urinària Prostate cancer Urinary incontinence A prospective study of patient reported urinary incontinence among American, Norwegian and Spanish men 1 year after prostatectomy info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion