Cancer - Prostate(구연) (NP-001) 근치적 전립선 적출술 후 안전패드 하나에서 최종적인 패드 미착용 상태에 도달하기까지의 경과와 예후 가톨릭대학교 인천성모병원 비뇨기과학교실, 1분당서울대학교병원 비뇨기과학교실 김정준, 이상철1, 정성진1, 홍성규1, 이상은1, 변석수1 PURPOSE There has been a debate of the definition of the continence recovery after radical prostatectomy that may allow one safety pad or not. Most of the patients could be relieved after his recovery up to one pad. However, redundant anxiety also continues to wear safety pad permanently. Hence, we conducted our study to investigate the continence prognosis after the time point of his safety pad. MATERIALS AND METHODS The prospectively collected whole radical prostatectomy cohort of single tertiary center (SNUBH) from Nov 2003 to May 2018 was analyzed. During the follow-up period, the patients were enrolled when he reports to wears one safety pad during the follow-up period. The patients recovered to pad-free directly without the period of safety pad was excluded. The follow-up continued until he reports pad-free. The continent outcome was evaluated according to the self-administered EPIC questionnaire. The continence prognosis was analyzed by Kaplan-Meier analysis. The Cox proportional hazard model was adopted to identify risk factor unable to remove his safety pad. RESULTS Among a total of 4115 RPs (1004 open- and 3111 robot-assisted-), 1632 men (39.6%) reported his initiation of one safety pad and enrolled. Most of the other patients not enrolled reported direct pad-free without the stage of one safety pad. The median days required to recover up to one safety pad was 32 days (0-1310) after catheter removal. During median 84 (1-3209) days of follow-up, 95.0% (n=1551) patients eventually recovered to pad free. The median days required from one safety pad to pad-free was 82 (1-3209) days. The risk factors delayed the recovery from the safety pad was old age, diabetes and postoperative radiation from multivariate Cox regression. CONCLUSIONS Most of the patients recovered up to one safety pad eventually remove his safety pads. However, the required time (median 3 months) is usually longer than the time required to be recovered to one safety pad (1 month) after RP from the first place. The factors related to worse bladder and sphincter function delays the recovery to pad-free. keywords : Radical prostatectomy, safety pad, recovery