Beyond technique: Towards zero-incontinence in robotic assisted radical prostatectomy through purposeful practice

Authors

  • Petre Cristian Ilie Norfolk and Norwich University Hospital, Norwich, UK / Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
  • Anne Carrie Norfolk and Norwich University Hospital, Norwich, UK
  • Nikita Bhatt Norfolk and Norwich University Hospital, Norwich, UK
  • Ruth Doherty Norfolk and Norwich University Hospital, Norwich, UK
  • Radu Croitoru Norfolk and Norwich University Hospital, Norwich, UK
  • Pattabiraman Maheshkumar Norfolk and Norwich University Hospital, Norwich, UK
  • Dimitar Ormanov Norfolk and Norwich University Hospital, Norwich, UK
  • Supun De Silva Norfolk and Norwich University Hospital, Norwich, UK
  • Vivekanandan Kumar Norfolk and Norwich University Hospital, Norwich, UK
  • Guillermo Felipe López Sánchez Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murica, Spain
  • Fiona Richardson The Queen Elizabeth Hospital King’s Lynn, Norfolk, UK
  • Lee Smith Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK

Keywords:

Digital Health, Incontinence, Prostate Cancer, Purposeful Practice, Robotic Assisted Radical Prostatectomy

Abstract

In this case series including ten consecutive patients, we present results of our robotic radical prostatectomy improvement process. We introduced purposeful practice and we have implemented a specifically designed and built digital platform (Healthium®) with the goal of eliminating urinary incontinence after robotic radical prostatectomy. Patient reported outcomes (PROMs) at three months showed zero-incontinence. Nine out of ten patients did not require any incontinence pads, one patient was still using one small pad as he was very physically active but scored 0 on question five on the ICIQ-SF, which assesses how much incontinence interferes with quality of life (scale for question five from 0 to 10). Importantly, 20% of this cohort had urinary incontinence pre-operatively with ICIQ-SF scores of nine and 11 and one to two incontinence pads/24h respectively. The use of the Healthium® platform made the recording of the peri-operative and intraoperative variables simplistic and efficient, patient information and consenting more personalised, and facilitated data extraction and analysis; subsequently facilitating patient improvements based on surgeon’s own data. 

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References

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Published

2024-11-03

How to Cite

Ilie, P. C., Carrie, A., Bhatt, N., Doherty, R., Croitoru, R., Maheshkumar, P., … Smith, L. (2024). Beyond technique: Towards zero-incontinence in robotic assisted radical prostatectomy through purposeful practice. Atena Journal of Urology , 4, 1. Retrieved from https://atenajournals.com/index.php/aju/article/view/103

Issue

Vol. 4 (2024)

Section

Articles

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