Urol. praxi. 2022;23(1):38-43 | DOI: 10.36290/uro.2022.014

How frequent and dangerous is overactive bladder syndrome after radical prostatectomy?

MUDr. Lukáš Holub, MUDr. Petr Hušek, Ph.D., FEBU, MUDr. Jiří Špaček, prof. MUDr. Miloš Broďák, Ph.D.

Urologická klinika FN a LF UK Hradec Králové

Introduction: Hyperactive bladder syndrome after radical prostatectomy is a less common but serious disease that can have a major negative impact on quality of life.

Method: A group of 500 patients after robot-assisted radical prostatectomy in 2016-2018 was evaluated. Hyperactive bladder was assessed on the basis of micturition diaries 3 and 6 months after surgery.

Results: The median follow-up was 36 months. Overactive bladder syndrome was diagnosed in 15 (3 %) patients. First-generation anticholinergic therapy was effective in 12 (80 %) patients. In three (20 %) patients, treatment was changed to solifenacin, which remained effective. After 6 months, the treatment was effective and did not need to be changed in the long term, Conclusion: The incidence of overactive bladder syndrome was low in our cohort (3 %), which was less than in similar published studies. In most patients (80 %), first-generation anticholinergic therapy was effective. If the therapeutic effect was insufficient or side effects occurred, treatment with solifenacin was effective.

Keywords: hyperactive bladder, radical prostatectomy, anticholinergics.

Published: March 16, 2022  Show citation