{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:15:04Z","timestamp":1791432904863,"version":"4.3.3"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:00:00Z","timestamp":1773187200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the correlation between the pad\u2010per\u2010day (PPD) count and the 24\u2010h pad test (24\u2009h\u2010PT) during the first postoperative year after radical prostatectomy (RP), and to determine the clinical utility of the PPD count for quantitative urinary incontinence (UI) assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analysed a prospectively maintained database of 2040 men who underwent RP between 2001 and 2025 at a tertiary referral centre. A total of 8787 paired measurements of PPD count and 24\u2009h\u2010PT were analysed. Urinary leakage was assessed at standardised timepoints (1\u2009week, 6\u2009weeks, 3, 6, and 12\u2009months) using count of PPD and nurse\u2010supervised 24\u2009h\u2010PT. UI severity was classified as mild (&lt;100\u2009g), moderate (100\u2013400\u2009g), or severe (&gt;400\u2009g). Correlations were calculated using Spearman's\n                      <jats:italic>\u03c1<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The correlation between the PPD count and 24\u2009h\u2010PT was strong across all timepoints and increased over the postoperative year, from\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.77 at 1\u2009week to 0.99 at 12\u2009months. The overall correlation for all paired measurements was\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.94 (95% confidence interval 0.93\u20130.94). The median (interquartile range) 24\u2009h\u2010PT values rose consistently with increasing PPD count categories: from 15\u2009(7\u201338)\u2009g for 1\u2009pad\/day to 781\u2009(478\u20131200)\u2009g for \u22655\u2009pads\/day. At 12\u2009months, 94% of men using one pad had urine loss &lt;100\u2009g, whereas 85% of those using \u22655\u2009pads\/day exceeded 400\u2009g. Intermediate categories (2\u20134\u2009pads\/day) showed wide variability, limiting their discriminative value.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The PPD count shows a strong correlation with 24\u2009h\u2010PT throughout the first postoperative year after RP. Use of 0\u20131\u2009pad\/day effectively excluded moderate\u2010to\u2010severe UI, whereas \u22655\u2009pads\/day reliably identified severe UI. The PPD count is a practical follow\u2010up tool, while 24\u2009h\u2010PT remains necessary for patients using 2\u20134\u2009pads\/day.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70224","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T06:59:53Z","timestamp":1773298793000},"page":"1040-1046","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The 24\u2010h pad test in the assessment of post\u2010prostatectomy incontinence: is there still a role for counting pads per day?"],"prefix":"10.1111","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3047-2251","authenticated-orcid":false,"given":"Raimundo","family":"Dom\u00ednguez Argomedo","sequence":"first","affiliation":[{"name":"Hospital DIPRECA  Santiago Chile"},{"name":"Hospital F\u00e9lix Bulnes  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2286-9893","authenticated-orcid":false,"given":"Pedro","family":"de Pablos\u2010Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Instituto Valenciano de Oncolog\u00eda  Valencia Spain"},{"name":"Canary Islands Health Research Institute Foundation (FIISC)  Las Palmas de Gran Canaria Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Palop Moscard\u00f3","sequence":"additional","affiliation":[{"name":"Instituto Valenciano de Oncolog\u00eda  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"G\u00f3mez\u2010Ferrer Lozano","sequence":"additional","affiliation":[{"name":"Instituto Valenciano de Oncolog\u00eda  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isidora","family":"Calvo Bernasconi","sequence":"additional","affiliation":[{"name":"Hospital F\u00e9lix Bulnes  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Luis","family":"Casanova Ram\u00f3n\u2010Borja","sequence":"additional","affiliation":[{"name":"Instituto Valenciano de Oncolog\u00eda  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Argimiro","family":"Collado Serra","sequence":"additional","affiliation":[{"name":"Instituto Valenciano de Oncolog\u00eda  Valencia 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