Predictors of Early Continence after Robot-assisted Radical Prostatectomy

被引：8

作者：

Yamada, Yuta ^{[1
]}

Fujimura, Tetsuya ^{[1
]}

Fukuhara, Hiroshi ^{[1
]}

Sugihara, Toru ^{[1
]}

Nakagawa, Tohru ^{[1
]}

Kume, Haruki ^{[1
]}

Igawa, Yasuhiko ^{[2
]}

Homma, Yukio ^{[1
]}

机构：

[1] Univ Tokyo, Grad Sch Med, Dept Urol, Tokyo 1138655, Japan

[2] Univ Tokyo, Grad Sch Med, Dept Continence Med, Tokyo, Japan

来源：

LUTS-LOWER URINARY TRACT SYMPTOMS | 2018年 / 10卷 / 03期

关键词：

early continence; incontinence; robot-assisted radical prostatectomy; URINARY CONTINENCE; RETROPUBIC PROSTATECTOMY; POSTERIOR ASPECT; RECOVERY; OUTCOMES; RHABDOSPHINCTER; IMPACT; RECONSTRUCTION; INCONTINENCE; RESTORATION;

D O I：

10.1111/luts.12181

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

ObjectiveOur objective was to investigate predictors of early continence outcome after robot-assisted radical prostatectomy (RARP). MethodsClinical records were prospectively collected in 272 patients who underwent RARP. Clinical parameters, continence rates, and time to achieve continence were investigated and analyzed. Recovery of continence was defined as achieving complete continence (pad-free). ResultsIn the univariate analysis, young age (67years) and low pT stage (pT2) were significantly associated with continence achieved within 2weeks after RARP (P=0.0343 and P=0.0406, respectively). Low prostate weight was the only factor associated with recovery of continence within 1month (P=0.0461). Multivariate analysis revealed that young age (67years) and low pT stage (pT2) were statistically significant predictors of continence within 2weeks after RARP (P=0.040 and P=0.015, respectively). ConclusionYoung age and low pT stage were independent predictors of early continence.

引用

页码：287 / 291

页数：5

共 29 条

[1] Impact of prostate size in robot-assisted radical prostatectomy [J].

Boczko, Judd ;

Erturk, Erdal ;

Golijanin, Dragan ;

Madeb, Ralph ;

Patel, Hitendra ;

Joseph, Jean V. .

JOURNAL OF ENDOUROLOGY, 2007, 21 (02) :184-188

[2] Improved continence after radical retropubic prostatectomy using two pubo-urethral suspension stitches [J].

Campenni, MA ;

Harmon, JD ;

Ginsberg, PC ;

Harkaway, RC .

UROLOGIA INTERNATIONALIS, 2002, 68 (02) :109-112

[3] Nerve-sparing technique and urinary control after robot-assisted laparoscopic prostatectomy [J].

Choi, Wesley W. ;

Freire, Marcos P. ;

Soukup, Jane R. ;

Yin, Lei ;

Lipsitz, Stuart R. ;

Carvas, Fernando ;

Williams, Stephen B. ;

Hu, Jim C. .

WORLD JOURNAL OF UROLOGY, 2011, 29 (01) :21-27

[4] CORPUS-Novel COmplete Reconstruction of the Posterior Urethral Support After Robotic Radical Prostatectomy: Preliminary Data of Very Early Continence Recovery [J].

Dal Moro, Fabrizio ;

Crestani, Alessandro ;

Valotto, Claudio ;

Zattoni, Filiberto .

UROLOGY, 2014, 83 (03) :641-647

[5]

Edge SB., 2010, AJCC Cancer Staging Manual, V7th, P457

[6] Validation of an educational program balancing surgeon training and surgical quality control during robot-assisted radical prostatectomy [J].

Fujimura, Tetsuya ;

Menon, Mani ;

Fukuhara, Hiroshi ;

Kume, Haruki ;

Suzuki, Motofumi ;

Yamada, Yuta ;

Niimi, Aya ;

Nakagawa, Tohru ;

Igawa, Yasuhiko ;

Homma, Yukio .

INTERNATIONAL JOURNAL OF UROLOGY, 2016, 23 (02) :160-166

[7] Prospective evaluation of urinary incontinence, voiding symptoms and quality of life after open and robot-assisted radical prostatectomy [J].

Geraerts, Inge ;

Van Poppel, Hendrik ;

Devoogdt, Nele ;

Van Cleynenbreugel, Ben ;

Joniau, Steven ;

Van Kampen, Marijke .

BJU INTERNATIONAL, 2013, 112 (07) :936-943

[8] Continence outcomes after bladder neck preservation during robot-assisted laparoscopic prostatectomy (RALP) [J].

Gu, Xiao ;

Araki, Motoo ;

Wong, Carson .

MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 2015, 24 (06) :364-371

[9] Urinary continence after radical prostatectomy: Predictive factors of recovery after 1 year of surgery [J].

Jeong, Seong Jin ;

Kim, Hyeon June ;

Kim, Jeong Hyun ;

Oh, Jong Jin ;

Lee, Sang Cheol ;

Jeong, Chang Wook ;

Yoon, Cheol Yong ;

Hong, Sung Kyu ;

Byun, Seok-Soo ;

Lee, Sang Eun .

INTERNATIONAL JOURNAL OF UROLOGY, 2012, 19 (12) :1091-1098

[10] Independent Predictors of Recovery of Continence 3 Months After Robot-Assisted Laparoscopic Radical Prostatectomy [J].

Kim, Jung Jun ;

Ha, Yun-Sok ;

Kim, Jeong Hyun ;

Jeon, Seong Soo ;

Lee, Dong-Hyeon ;

Kim, Wun-Jae ;

Kim, Isaac Yi .

JOURNAL OF ENDOUROLOGY, 2012, 26 (10) :1290-1295

← 1 2 3 →