Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire‐short form

• Published in: Neurourology and urodynamics Vol. 38; no. 2; pp. 726 - 733
• Main Authors: Machioka, Kazuaki, Kadono, Yoshifumi, Naito, Renato, Nakashima, Kazufumi, Iijima, Masashi, Kawaguchi, Shohei, Shigehara, Kazuyoshi, Nohara, Takahiro, Izumi, Kouji, Mizokami, Atsushi
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.02.2019
• Subjects: Aged; Cancer surgery; Female; Humans; International Consultation on Incontinence Questionnaire ‐ Short Form; Male; Middle Aged; Prostate - surgery; Prostate cancer; Prostatectomy; Prostatectomy - adverse effects; Prostatic Neoplasms - surgery; Questionnaires; radical prostatectomy; Surveys and Questionnaires; Treatment Outcome; Urinary incontinence; Urinary Incontinence - diagnosis; Urinary Incontinence - etiology; Urological surgery; International Consultation on Incontinence Questionnaire - Short Form; urinary incontinence; radical prostatectomy
• DOI: 10.1002/nau.23907
• ISSN: 0733-2467

Aims To evaluate urinary incontinence using the International Consultation on Incontinence Questionnaire‐Short Form (ICIQ‐SF), daily pad use, and 24‐h pad weight test before and after radical prostatectomy (RP) chronologically, and the correlation between them. Methods ICIQ‐SF and questions on daily pad use provided subjective, and 24‐h pad weight test for objective evaluation. Results In total, 258 cases were recruited. The continence rate at 12 months after RP was 67% for no pad use, 87% for security 1 pad/day, and 94% for 1 pad/day. The median ICIQ‐SF total score before and at 1, 3, 6, and 12 months after RP was 0, 10, 7, 5, and 4, respectively. Incontinence patterns differed when comparing ICIQ‐SF results pre‐ and post‐RP. Significant correlation existed between the ICIQ‐SF total score, 24‐h pad weight test, and daily pad use; however, point distribution on each scatter plot varied widely. Comparing results before and at 12 months after RP revealed complete recovery for 35% of patients from the ICIQ‐SF total score, 67% from daily pad use, and 64% from the 24‐h pad weight test. A combination of all 3 showed a recovery of preoperative levels in 29% of patients. Conclusions ICIQ‐SF was effective and convenient for evaluating UI, including the pattern of UI, after RP. Significant correlation, but wide variations, among ICIQ‐SF, daily pad use, and the 24‐h pad weight test existed. The best evaluation method would be the one that can compare UI status pre‐ and post‐RP using the ICIQ‐SF and 24‐h pad weight test.