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. 2019 May 6;19(1):32.
doi: 10.1186/s12894-019-0464-6.

Post-radical prostatectomy urinary incontinence: is there any discrepancy between medical reports and patients' perceptions?

Rafael Castilho Borges  1 , Marcos Tobias-Machado  2 , Estefânia Nicoleti Gabriotti  2 , Francisco Winter Dos Santos Figueiredo  3 , Carlos Alberto Bezerra  2 , Sidney Glina  2
Affiliations

Post-radical prostatectomy urinary incontinence: is there any discrepancy between medical reports and patients' perceptions?

Rafael Castilho Borges et al. BMC Urol. .

Abstract

Background: Post-radical prostatectomy urinary incontinence (PPI) negatively affects the quality of life of patients. Accurate identification of the problem by physicians is essential for adequate postoperative management. In this study we sought to access whether there is, for urinary incontinence, any discrepancy between medical reports and the perception of patients.

Methods: We performed a retrospective analysis of medical records of 337 patients subjected to radical retropubic prostatectomy (RRP) between 2005 and 2010. Sociodemographic variables were collected, as well as continence status over the course of treatment. Next, we contacted patients by phone to determine continence status at present and at time of their last appointment, as well as to apply ICIQ - SF questionnaire. Poisson regression model with robust variance was used to estimate the factors associated with discrepancy, using the stepwise backward strategy. Software used was Stata® (StataCorp, LC) version 11.0.

Results: There is discrepancy between medical reports and patients' perceptions in 42.2% of cases. This discrepancy was found in 56% of elderly patients and 52% of men with low schooling, with statistical significance in these groups (p = 0.069 and 0.0001, respectively), whereas in multivariate regression analysis the discrepancy rate was significantly higher in black men (discrepancy rate of 52.6%) with low schooling (p = 0.004 and 0.043, respectively).

Conclusion: There is discrepancy between medical reports and the perception of black men with low schooling in respect to post-radical prostatectomy urinary incontinence and a need for more thorough investigation of this condition in patients that fit this risk profile.

Keywords: Medical report; Patient-reported symptoms; Prostatectomy; Prostatic neoplasm; Quality-of-life; Urinary continence.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the Research Ethics Committee of Faculdade de Medicina do ABC (no. 3.031.751). Patients’ informed consent was obtained verbally over telephone and was recorded during phone calls (verbal and recorded consent was approved by the ethics committee of our institution); the patients received an information letter prior to the informed consent; informed consent to participate in the study was recorded on the phone calls; patient’s identity, answers and information on medical records were kept confidential.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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