The impact of urinary incontinence on the quality of life among 50 men
(average age 67 years) after radical prostatectomy was assessed by a
self-administered questionnaire. The majority were not restricted by i
ncontinence, whereas 26% of the men reported limitations in the usual
physical activity and more than half reported moderate to severe emoti
onal distress. Of 33 patients evaluated less than 5 years postoperativ
ely 26 (79%) would choose surgery again despite incontinence, whereas
9 of 17 (53%) evaluated after 5 years were unsure or would not. Object
ive quality of life information may help to improve nonoperative inter
vention strategies for the incontinent patient.