Does type 2 diabetes mellitus have an impact on postoperative early, mid-term and late-term urinary continence after robot-assisted radical prostatectomy?

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dc.authorscopusidSerkan Altınova / 15064152300
dc.authorwosidSerkan Altınova / ENK-3879-2022
dc.contributor.authorÇakmak, Serdar
dc.contributor.authorCanda, Abdullah Erdem
dc.contributor.authorEner, Kemal
dc.contributor.authorAtmaca, Ali Fuat
dc.contributor.authorAltınova, Serkan
dc.contributor.authorBalbay, Mevlana Derya
dc.date.accessioned2020-08-30T20:06:56Z
dc.date.available2020-08-30T20:06:56Z
dc.date.issued2019
dc.departmentİstinye Üniversitesien_US
dc.description.abstractObjective: We evaluated the effect of diabetes mellitus (DM) on urinary continence after robotic radical prostatectomy (RARP). Patients and Methods: Overall, 99 patients with DM and 213 patients without DM who underwent RARP with at least 2-year follow-up were included. The preoperative prostate biopsy Gleason scores and clinical stages of the groups were similar. The patients who were dry or used one safety pad per day were regarded as continent. Early (0-3 months), mid-term (4-12 months), and late-term (>12 months) continence rates were evaluated. Results: In diabetic and nondiabetic groups, mean age was 63.36.5 and 61.3 +/- 6.8 years, respectively (p=0.015). On the day of the removal of the urethral catheter, 61.6% (n=61) of the diabetic patients and 99.1% (n=211) of the nondiabetic patients were continent (p=0.000). At third-month follow-up, 80.8% (n=80) of the diabetic patients and 99.1% (n=211) of the nondiabetic patients were continent (p=0.000). At sixth-month follow-up, 89.9% (n=89) of the diabetic patients and 99.1% (n=211) of the nondiabetic patients were continent (p=0.000). At first-year follow-up, 93.9% (n=93) of the diabetic patients and 100% (n=213) of the nondiabetic patients were continent (p=0.001). At 18th-month follow-up, 96.0% (n=95) of the diabetic patients and 100% (n=213) of the nondiabetic patients were continent (p=0.013). At second-year follow-up, 98.0% (n=97) of the diabetic patients and 100% (n=213) of the nondiabetic patients were continent (p=0.115). Multivariate analysis showed that age and body mass index had no impact on urinary continence (p>0.05). Presence of diabetes (p=0.008) and duration (5 years) of diabetes (p=0.004) were independent factors that had a significant negative impact on urinary continence. Conclusions: Diabetes seems to be a significant disadvantage in gaining urinary continence compared with nondiabetic patients particularly in the first 18 months after RARP. Diabetic patients should be informed about possible late recovery of postoperative urinary continence compared with nondiabetic patients after RARP.en_US
dc.description.sponsorshipEuropean Association of Urology (EAU)en_US
dc.description.sponsorshipThis study received 2nd Berlin Chemi Award for Best Poster Presentation during the European Association of Urology (EAU) 11th South East European Meeting (SEEM) that was held on November 6-8, 2015 in Antalya, Turkey. European Urology Supplements 2015; Volume 14, Issue 8, pages e1343-e1452.en_US
dc.identifier.citationCakmak, S., Canda, A. E., Ener, K., Atmaca, A. F., Altinova, S., & Balbay, M. D. (2019). Does Type 2 Diabetes Mellitus Have an Impact on Postoperative Early, Mid-Term and Late-Term Urinary Continence After Robot-Assisted Radical Prostatectomy?. Journal of endourology, 33(3), 201-206.en_US
dc.identifier.doi10.1089/end.2018.0822en_US
dc.identifier.endpage206en_US
dc.identifier.issn0892-7790en_US
dc.identifier.issn1557-900Xen_US
dc.identifier.issue3en_US
dc.identifier.pmid30648427en_US
dc.identifier.scopus2-s2.0-85062860647en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage201en_US
dc.identifier.urihttps://doi.org/10.1089/end.2018.0822
dc.identifier.urihttps://hdl.handle.net/20.500.12713/657
dc.identifier.volume33en_US
dc.identifier.wosWOS:000462452100001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAltınova, Serkanen_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Endourologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRobotic Prostatectomyen_US
dc.subjectUrinary Incontinenceen_US
dc.subjectDiabetes Mellitusen_US
dc.titleDoes type 2 diabetes mellitus have an impact on postoperative early, mid-term and late-term urinary continence after robot-assisted radical prostatectomy?en_US
dc.typeArticleen_US

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