Diabetes Slows Return of Continence After Laparoscopic Prostatectomy

Hey, fatsos. Now you can piss yourself longer than intended-size humans after your operation.

Patients with diabetes mellitus who undergo laparoscopic radical prostatectomy often experience a slower return of urinary continence than do men without diabetes, European researchers report.

The study, which is published in the Journal of Urology for March, found that 43.7% of diabetic patients are continent within 3 months of surgery compared with 57.8% of non-diabetics (p = 0.02). By 12 and 24 months, however, the differences are no longer statistically significant.

The findings also suggest that among diabetics, those who've had the disease for 5 years or longer are nearly five times more likely to have post-prostatectomy incontinence than are those with a shorter disease duration. In addition, an elevated HbA1c value was predictive of incontinence on long-term follow-up.

"Urinary incontinence remains a clinically important complication after radical prostatectomy and has a significant negative impact on patient quality of life," senior author Dr. Jens Rassweiler, from SLK Kliniken Heilbronn, Germany, and colleagues note. "A wide range of continence rates has been reported after radical retropubic prostatectomy (67% to 95%) and laparoscopic prostatectomy (60% to 100%)."

Type 2 diabetes, the more common form comprising 95% of diabetics, is fat person diabetes.

Kudos, fatsos. Diapers, anyone?