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Hi, in this video, we'll continue talking about the problem of urinary incontinence
after prostate surgery and we'll talk specifically about the scale of the problem, so how many
patients leak urine after prostate surgery? Obviously this is a very important question
from the patients' point of view, because all patients want to know what is the likelihood
of them becoming incontinent after surgery and is it a temporary problem or is it a long-term
problem, so in the next few minutes we'll try and discuss the percentage of patients
who are still incontinent, say 12 months after prostate surgery and what are the factors
that can determine the percentage. Is it a known percentage, a specific percentage or
does it vary widely, unfortunately the answer is that it does vary widely because there
are so many factors that can interfere with the outcome of the surgery, so it's difficult
to say to patients that the likelihood of you becoming incontinent 12 months after surgery
is about 10 %, you can't say that because the range is quite wide, it's anywhere between
4% and 30% as we will see in the next few slides, so let's talk about this problem and
see what are those factors which could be briefly divided into patients' factors and
then surgical factors and also how the incontinence was defined in the study? Was it defined by
the number of pads used or by the weight of the pads, and also then the methods of assessment,
was it a validated questionnaire, was it a self-reported or institutional questionnaire
was it a patient physician interview? All those methods of assessment vary and the interpretation
of the results can also vary, so in the next few slides we'll talk about those factors
in detail and hopefully we can reach a reasonable conclusion as to the percentage of patients
who
are incontinent 12 months after prostate surgery.