Smokers Face Delayed Continence Recovery After Prostate Surgery
Large prostates and bladder neck sparing also predict longer time to return of continence.
Men who are smokers at the time of robotic-assisted radical prostatectomy (RARP) for prostate cancer are more likely to experience delayed recovery of urinary continence after surgery, new data presented at the Canadian Urological Association 2016 annual meeting suggest.
Emad S. Rajih, MD, and colleagues at the Université de Montréal in Quebec, analyzed continence data from 322 RARP patients who were interviewed at 1, 3, 6, 12, and 24 months after surgery. In multivariate analysis, active smokers at the time of surgery had a significant 29% decreased likelihood of continence recovery compared with non-smokers, Dr Rajih's group reported in a poster presentation. Results also showed that bladder neck sparing, large prostate size, and longer operative time independently predicted delayed continence recovery after surgery.
“Our results suggest that smoking at the time of surgery is a major factor responsible for delayed continence recovery,” the researchers concluded.