Logistic analysis of influencing factors on urinary control after laparoscopic radical prostatectomy in elderly patients
Objective To analyze the influencing factors on urinary control after laparoscopic radical prostatectomy in elderly patients.Methods Clinical data of 180 elderly patients with prostate cancer who underwent laparoscopic radical prostatectomy in our hospital from January 2021 to January 2023 were retrospectively analyzed.Based on whether urinary incontinence has occurred,the patients were divided into the observation group(43 cases with urinary incontinence)and the control group(137 cases without urinary incontinence).Univariate analysis was used to analyze the influencing factors of urinary control after laparoscopic radical prostatectomy in the elderly,and multivariate Logistic regression was used to analyze the risk factors of urinary control after laparoscopic radical prostatectomy in the elderly.Survey factors included age,body mass index,history of diabetes mellitus,history of hypertension,prostate volume,past TURP history,intraoperative and postoperative blood transfusion,post-operative pathological T staging,post-operative pathological margin,length of urethral reserve,Gleason score,bladder neck intact preservation.Results The univariate analysis revealed no statistical differences in the history of diabetes mellitus,hypertension,intraoperative and postoperative blood transfusion,post-operative pathological T stage,post-operative pathological margin and Gleason score between the two groups(P＞0.05),and significant differences in age,body mass index,prostate volume,past TURP history,urethral retention length,bladder neck intact preservation(P＜0.05).The results of multivariate analysis showed that the differences in the above univariate analysis were statistically significant.Multivariate analysis showed that age,body mass index,prostate volume,TURP history,urethral retention length and bladder neck intact retention were risk factors for urinary control after laparoscopic radical prostatectomy in the elderly.Conclusion Urinary control after laparoscopic radical prostatectomy in the elderly has many influencing factors.To reduce the incidence of urinary incontinence after prostate cancer surgery and improve the life quality of patients,some effective measures should be taken to address these risk factors.
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