Significant association between urethral length measured by magnetic resonance imaging and urinary continence recovery after robot-assisted radical prostatectomy

Prostate International
Kosuke KitamuraShigeo Horie

Abstract

To determine the clinical predictive factors affecting the recovery from postoperative urinary incontinence after robot-assisted radical prostatectomy (RARP). We consecutively analyzed 320 patients who underwent RARP between January 2012 and March 2015. The restoration of urinary continence was defined as follows: the use of no pads/no leakage of urine or the use of a safety pad. Preoperative covariates were statistically assessed by multivariate logistic regression analysis to investigate their predict factor to recovery of urinary incontinence. Therefore, in this study, we sought to identify predictors of early urinary continence status in a single-center retrospective study of consecutive patients who underwent RARP. Continence rates at 1, 3, 6, and 12 months after the catheter was removed were 44%, 71%, 83%, and 93%, respectively. Age, body mass index, and prostate volume had no significant association with urinary continence recovery. In contrast to this, longer preoperative membranous urethral length (MUL) was significantly associated with earlier postoperative continence recovery. Multivariate analysis demonstrated that longer preoperative MUL is significantly associated with continence recovery at 1 month (P = 0.0235). ...Continue Reading

Citations

Apr 18, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Oscar LauciricaMarta Muniesa
Nov 6, 2020·The World Journal of Men's Health·Nicolò SchifanoAndrea Salonia
Apr 15, 2021·Neurourology and Urodynamics·Carmen Muñoz-CalahorroRafael Antonio Medina-López
Jun 9, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Anna ColarietiTristan Barrett

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BETA
dissection
biopsy

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