Background: Post-radical prostatectomy urinary incontinence (PPI) negatively affects the quality of life of patients.\nAccurate identification of the problem by physicians is essential for adequate postoperative management. In this\nstudy we sought to access whether there is, for urinary incontinence, any discrepancy between medical reports and\nthe perception of patients.\nMethods: We performed a retrospective analysis of medical records of 337 patients subjected to radical retropubic\nprostatectomy (RRP) between 2005 and 2010. Sociodemographic variables were collected, as well as continence\nstatus over the course of treatment. Next, we contacted patients by phone to determine continence status at\npresent and at time of their last appointment, as well as to apply ICIQ â?? SF questionnaire. Poisson regression model\nwith robust variance was used to estimate the factors associated with discrepancy, using the stepwise backward\nstrategy. Software used was Stata® (StataCorp, LC) version 11.0.\nResults: There is discrepancy between medical reports and patientsâ?? perceptions in 42.2% of cases. This discrepancy\nwas found in 56% of elderly patients and 52% of men with low schooling, with statistical significance in these\ngroups (p = 0.069 and 0.0001, respectively), whereas in multivariate regression analysis the discrepancy rate was\nsignificantly higher in black men (discrepancy rate of 52.6%) with low schooling (p = 0.004 and 0.043, respectively).\nConclusion: There is discrepancy between medical reports and the perception of black men with low schooling in\nrespect to post-radical prostatectomy urinary incontinence and a need for more thorough investigation of this\ncondition in patients that fit this risk profile.
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