Analysis of influencing factors of early post operative urine control after laparoscopic radical prostatectomy

ObjectiveTo detect the influencing factors of early postoperative urine control after laparoscopic radical prostatectomy.

MethodsA total of 65 prostate cancer patients treated with radical prostatectomy were selected.The general features, tumor, operation and recovery of early urinary control in all patients were retrospectively analyzed, and the influencing factors of early postoperative urinary control were investigated.

ResultsThe rate of early urine control in all patients was 49.23%.The results of univariate analysis showed that the age, body mass index, neoadjuvant therapy, prostate volume, tumor staging, blood loss, retaining complete bladder neck and postoperative leakage were correlated with the recovery of early postoperative urinary control, and the differences of those were statistically significant(P < 0.05 to P < 0.01).The results of logistic regression analysis showed that the age, neoadjuvant therapy, amount of bleeding and retaining complete bladder neck were the independent influencing factors of early postoperative urine control, and the differences of those were statistically significant(P < 0.05 to P < 0.01).

ConclusionsMultiple factors can affect the early postoperative urine control after laparoscopic radical prostatectomy.Early urinary control can benefit from the appropriate operation timing, preoperative neoadjuvant endocrine therapy, intraoperative precise operation to reduce blood loss and side injury of hemostatic operation, retaining complete bladder neck and urethra as long as possible.