Rebuttal from Authors re: Theresa M. Koppie, Bertrand Guillonneau. Predictors of Incontinence after Radical Prostatectomy: Where Do We Stand?

摘要

There is a consensus among surgeons doing open and laparoscopic procedures that urinary continence is one of the main goals to achieve after radical prostatectomy. As clearly pointed out by Koppie and Guillonneau , there are three different periods to analyse predictors of (in) continence when performing this operation (Table 1): preoperative, intraoperative, and postoperative periods. Obviously, these different periods address completely different aspects. Preoperative risk factors for a prolonged urinary incontinence (ie, age, history of previous transurethral resection of the prostate, smoker, neurologic comorbidity) may play important roles in treatment decision-making to prefer other alternatives, such as external-beam radiation or brachytherapy. Only a few of them may be really reversible (ie, obesity, unmanaged comorbidity such as diabetes mellitus).