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Appropriate preoperative membranous urethral length predicts recovery of urinary continence after robot-assisted laparoscopic prostatectomy.
- Source :
-
World journal of surgical oncology [World J Surg Oncol] 2018 Nov 16; Vol. 16 (1), pp. 224. Date of Electronic Publication: 2018 Nov 16. - Publication Year :
- 2018
-
Abstract
- Purpose: We investigated that preoperative membranous urethral length (MUL) would be associated with the recovery of urinary continence after robot-assisted laparoscopic prostatectomy (RALP).<br />Patients and Methods: We studied 204 patients who underwent RALP between May 2013 and March 2016. All patients underwent pelvic magnetic resonance imaging (MRI) preoperatively to measure MUL. Urinary continence was defined as the use of one pad or less (safety pad). The 204 patients were divided into two groups: continence group, those who achieved recovery of continence at 3, 6, and 12 months after RALP, and incontinence group, those who did not. We retrospectively analyzed the patients in terms of preoperative clinical factors including age, body mass index (BMI), estimated prostate volume, neurovascular bundle salvage, history of preoperative hormonal therapy, and MUL.<br />Results: The safety pad use rate was 69.6%, 86.9%, and 91.1% at 3, 6, and 12 months, respectively. On univariate and multivariate analyses, MUL were significant factors in every term of recovery of urinary continence in both groups. According to the receiver operating characteristic (ROC) curve analysis, the preoperative MUL that could best predict early recovery of urinary continence at 3 months after RALP was 12 mm.<br />Conclusions: We suggest that preoperative MUL > 12 mm would be a predictor of early recovery of urinary continence after RALP.
- Subjects :
- Adult
Aged
Humans
Japan epidemiology
Laparoscopy adverse effects
Laparoscopy methods
Magnetic Resonance Imaging
Male
Middle Aged
Postoperative Complications etiology
Postoperative Complications physiopathology
Preoperative Period
Prognosis
Prostate pathology
Prostate surgery
Prostatectomy methods
Prostatic Neoplasms pathology
Recovery of Function
Retrospective Studies
Robotic Surgical Procedures adverse effects
Robotic Surgical Procedures methods
Time Factors
Urethra anatomy & histology
Urethra diagnostic imaging
Urinary Incontinence etiology
Urinary Incontinence physiopathology
Postoperative Complications epidemiology
Prostatectomy adverse effects
Prostatic Neoplasms surgery
Urethra physiopathology
Urinary Incontinence epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1477-7819
- Volume :
- 16
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- World journal of surgical oncology
- Publication Type :
- Academic Journal
- Accession number :
- 30445961
- Full Text :
- https://doi.org/10.1186/s12957-018-1523-2