The Korean Journal of Urological Oncology 2012;10(2):83-89.
Published online August 30, 2012.
근치적 전립선절제술 후 요실금 발생 환자에서의 항콜린제 처방에 대한 비뇨기과 의사의 실태조사
방우진, 주관중1, 조진선, 전성수1, 백성현2, 성도환3, 김홍섭2, 함원식4, 홍성준4, 대한비뇨기종양학회
한림대학교 의과대학 비뇨기과학교실, 1성균관대학교 의과대학 비뇨기과학교실, 2건국대학교 의과대학 비뇨기과학교실, 3인하대학교 의과대학 비뇨기과학교실, 4연세대학교 의과대학 비뇨기과학교실
The Use of Anticholinergics in Patients with Urinary Incontinence after Radical Prostatectomy: A Survey of Urologists
Woo Jin Bang , Kwan Joong Joo 1, Jin Seon Cho , Seong Soo Jeon 1, Sung Hyun Paick 2, Do Hwan Seong 3, Hong Sup Kim 2, Won Sik Ham 4, Sung Joon Hong 4, The Korean Urological Oncology Society
0Department of Urology, College of Medicine, Hallym University, Chuncheon, Korea
1Department of Urology, Department of Urology, College of Medicine, Sungkyunkwan University, Suwon, Korea
2Department of Urology, Department of Urology, College of Medicine, Konkuk University, Chungju, Korea
3Department of Urology, Department of Urology, College of Medicine, Inha University, Incheon, Korea
4Department of Urology, Department of Urology, College of Medicine, Yonsei University, Seoul, Korea
Correspondence:  Sung Joon Hong
Abstract
Purpose
We surveyed the actual use of anticholinergics for urinary incontinence after radical prostatectomy among the practicing urologists. Materials and Methods: 142 urologist members of the Korean Urological Oncology Society were given surveys through conventional mail and e-mail with 76 members returning responses. Answering for the number of radical prostatectomy performed each year, 21 urologists responded more than 50 cases, 37 responded 10 to 50 cases, 11 responded 5 to 10 cases, and 7 said 1 to 5 cases. Concerning primary approach, retropubic approach surgery, laparoscopic surgery, robotic surgery and perineal approach surgery each had 39, 19, 17, and 1, respectively. Results: Among 76 participants, 64 (84%) acknowledged prescribing anticholinergics after prostatectomy depending on symptoms. For post-op indication of anticholinergics, 43 members responded significant incontinence symptoms, while 19 answered frequent urination. Concerning the initiation of medication, 52 answered when symptoms arise after catheter removal. For duration of anticholinergics, less than 30 days, 31-60 days, 61-90 days, more than 90 days each received 8, 17, 24, and 15 votes from participants, respectively. Finally, 57 members thought the use of anticholinergics were beneficial in treating urinary incontinence after radical prostatectomy. Conclusions: Over 80% of survey participants acknowledged prescribing anticholinergics to urinary incontinence patients according to symptoms, and 75% concurred with their usefulness. But, there is no specified protocol of anticholinergics use for urinary incontinence after radical prostatectomy. (Korean J Urol Oncol 2012;10:83-89)
Key Words: Prostatic neoplasms, Prostatectomy, Urinary incontinence, Cholinergic antagonists


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