Early continence after ileal neobladder: objective data from inpatient rehabilitation

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ORIGINAL ARTICLE

Early continence after ileal neobladder: objective data from inpatient rehabilitation Berfin Erdogan1 · Sebastian Berg1 · Joachim Noldus1 · Guido Müller1,2 Received: 14 July 2020 / Accepted: 27 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Purpose  To evaluate early continence of patients who underwent inpatient rehabilitation after radical cystectomy (RC) and orthotopic bladder substitution (ONB). Methods  We conducted a retrospective analysis on the data of 283 patients who underwent a three weeks inpatient rehabilitation after RC and ONB for bladder cancer between January 2016 and July 2017. All patients were treated with a special multimodal continence therapy. The continence status was evaluated by measuring urine loss by a 24-h pad test and urine volume on uroflowmetry at the beginning (T1) and at the end (T2) of inpatient rehabilitation. Multivariate linear regression analysis was performed to identify independent predictors of urine loss. Results  Median patient age was 63 years. NS was documented for 142 patients (50.2%). Median urine loss decreased significantly (p