{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T17:22:32Z","timestamp":1788801752054,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,1,6]],"date-time":"2022-01-06T00:00:00Z","timestamp":1641427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000659","name":"Research Trainees Coordinating Centre","doi-asserted-by":"publisher","award":["DRF\u20102018\u201011\u2010ST2\u2010036"],"award-info":[{"award-number":["DRF\u20102018\u201011\u2010ST2\u2010036"]}],"id":[{"id":"10.13039\/501100000659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007155","name":"Medical Research Council Canada","doi-asserted-by":"publisher","award":["MR\/S020470\/1"],"award-info":[{"award-number":["MR\/S020470\/1"]}],"id":[{"id":"10.13039\/501100007155","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate whether patient\u2010reported urinary incontinence (UI) and bother scores after radical prostatectomy (RP) result in subsequent intervention with UI surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Men diagnosed with prostate cancer in the English National Health Service between April 2014 and January 2016 were identified. Administrative data were used to identify men who had undergone a RP and those who subsequently underwent a UI procedure. The National Prostate Cancer Audit database was used to identify men who had also completed a post\u2010treatment survey. These surveys included the Expanded Prostate Cancer Composite Index (EPIC\u201026). The frequency of subsequent UI procedures, within 6\u2009months of the survey, was explored according to EPIC\u201026 UI scores. The relationship between \u2018good\u2019 (\u226575) or \u2018bad\u2019 (\u226425) EPIC\u201026 UI scores and perceptions of urinary bother was also explored (responses ranging from \u2018no problem\u2019 to \u2018big problem\u2019 with respect to their urinary function).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 11\u2009290 men who had undergone a RP. The 3\u2010year cumulative incidence of UI surgery was 2.5%. After exclusions, we identified 5165 men who had also completed a post\u2010treatment survey after a median time of 19\u2009months (response rate 74%). A total of 481 men (9.3%) reported a \u2018bad\u2019 UI score and 207 men (4.0%) also reported that they had a big problem with their urinary function. In all, 47 men went on to have UI surgery within 6\u2009months of survey completion (0.9%), of whom 93.6% had a bad UI score. Of the 71 men with the worst UI score (zero), only 11 men (15.5%) subsequently had UI surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In England, there is a significant number of men living with severe, bothersome UI after RP, and an unmet clinical need for UI surgery. The systematic collection of patient\u2010reported outcomes could be used to identify men who may benefit from UI surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.15663","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T18:09:53Z","timestamp":1638295793000},"page":"84-91","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Urinary incontinence and use of incontinence surgery after radical prostatectomy: a national study using patient\u2010reported outcomes"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9695-6052","authenticated-orcid":false,"given":"Matthew G.","family":"Parry","sequence":"first","affiliation":[{"name":"Department of Health Services Research and Policy The London School of Hygiene and Tropical Medicine (LSHTM) London UK"},{"name":"Clinical Effectiveness Unit Royal College of Surgeons of England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5859-8151","authenticated-orcid":false,"given":"Ted A.","family":"Skolarus","sequence":"additional","affiliation":[{"name":"Center for Clinical Management Research Veterans Affairs Ann Arbor Healthcare System University of Michigan AnnArbor MI USA"},{"name":"Department of Urology University of Michigan  Ann Arbor MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8597-7624","authenticated-orcid":false,"given":"Julie","family":"Nossiter","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy The London School of Hygiene and Tropical Medicine (LSHTM) London UK"},{"name":"Clinical Effectiveness Unit Royal College of Surgeons of England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunan","family":"Sujenthiran","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit Royal College of Surgeons of England  London UK"},{"name":"Flatiron Health London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy The London School of Hygiene and Tropical Medicine (LSHTM) London UK"},{"name":"Clinical Effectiveness Unit Royal College of Surgeons of England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas E.","family":"Cowling","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy The London School of Hygiene and Tropical Medicine (LSHTM) London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7132-5839","authenticated-orcid":false,"given":"Brendan","family":"Berry","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy The London School of Hygiene and Tropical Medicine (LSHTM) London UK"},{"name":"Clinical Effectiveness Unit Royal College of Surgeons of England  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Aggarwal","sequence":"additional","affiliation":[{"name":"Department of Radiotherapy Guy\u2019s and St Thomas\u2019 NHS Foundation Trust London UK"},{"name":"Department of Cancer Epidemiology, Population and Global Health King\u2019s College London (KCL) London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Payne","sequence":"additional","affiliation":[{"name":"Department of Oncology University College London Hospitals London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Cathcart","sequence":"additional","affiliation":[{"name":"Department of Urology Guy\u2019s and St Thomas\u2019 NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel W.","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Urology The Christie and Salford Royal NHS Foundation Trusts  Salford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"van der Meulen","sequence":"additional","affiliation":[{"name":"Department of Health Services Research and Policy The London School of Hygiene and Tropical Medicine (LSHTM) London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/PROM.S156279"},{"key":"e_1_2_12_3_1","unstructured":"National Prostate Cancer Audit.Annual report 2018: results of the NPCA prospective audit in England and Wales for men diagnosed from 1 April 2016 to 31 March 2017. 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