Abstract：Objective To analyze the high risk factors of urinary incontinence after radical prostatectomy for middleaged and elderly patients.Methods From 2014 to 2020,626 cases of elderly patients with prostate cancer who underwent radical prostatectomy in urology department of five comprehensive hospitals in Fujian province were selected as the research object. Patients were divided into control group (526 cases without postoperative urinary incontinence) and observation group (100 cases with postoperative urinary incontinence) according to the occurrence of postoperative urinary incontinence. The differences of individual data, clinical data, surgical treatment and nursing data between the two groups was analyzed, and multivariate logistic analysis was used to analyze the risk factors of urinary incontinence after radical prostatectomy.Results A total of 100 patients were complicated with postoperative urinary incontinence, and the incidence of urinary incontinence was 15.97%. Elderly pedestrian urinary incontinence postoperatively in patients with prostate cancer treated with age, body mass index (BMI), preoperative prostate hyperplasia of prostate and bladder function preoperatively, pathological staging, history of urethra prostate surgery, radiotherapy, surgery surgical sets, surgicalinjury of sphincter, intraoperative nerve injury, postoperative rehabilitation exercise adherence have correlation (all P<0.05). Multifactor logistic analysis showed that age≥75 years old, hyperplasia of prostate and sphincter preoperative bladder decompensation, surgical injury of sphincter, intraoperative nerve injury, has a history of urethra prostate surgery, postoperative rehabilitation exercise adherence low are middleaged and old patients with prostate cancer radical footbridge independent risk factors for postoperative urinary incontinence (all P<0.05).Conclusions The rate of urinary incontinence after radical surgery for middleaged and elderly prostate cancer patients is high, and the risk factors affecting postoperative incontinence are mainly the patient's condition and the quality of surgery. The clinical formulation of perioperative treatment and care plans should fully consider the risk factors, which should formulate targeted measures to prevent incontinence to improve the patient's recovery and quality of life after surgery.
