Understanding long-term continence rates after robot-assisted laparoscopic prostatectomy - one-year follow-up on "Cognitive ability as a non-modifiable risk factor for post-prostatectomy urinary incontinence".

التفاصيل البيبلوغرافية
العنوان:	Understanding long-term continence rates after robot-assisted laparoscopic prostatectomy - one-year follow-up on "Cognitive ability as a non-modifiable risk factor for post-prostatectomy urinary incontinence".
المؤلفون:	Reichert M; Department of Urology, University Medical Center Goettingen, Goettingen, Germany., Ploeger HM; Department of Pediatrics, University Hospital Bonn, Bonn, Germany., Uhlig A; Department of Urology, University Medical Center Goettingen, Goettingen, Germany., Strauss A; Department of Urology, University Medical Center Goettingen, Goettingen, Germany., Henniges P; Department of Urology, University Medical Center Goettingen, Goettingen, Germany., Trojan L; Department of Urology, University Medical Center Goettingen, Goettingen, Germany., Mohr MN; Department of Urology, University Medical Center Goettingen, Goettingen, Germany.
المصدر:	Frontiers in surgery [Front Surg] 2022 Nov 23; Vol. 9, pp. 1055880. Date of Electronic Publication: 2022 Nov 23 (Print Publication: 2022).
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101645127 Publication Model: eCollection Cited Medium: Print ISSN: 2296-875X (Print) Linking ISSN: 2296875X NLM ISO Abbreviation: Front Surg Subsets: PubMed not MEDLINE
أسماء مطبوعة:	Original Publication: Lausanne : Frontiers Media S.A., [2014]-
مستخلص:	Purpose: To evaluate long-term continence rates (12 months) in patients after robot-assisted laparoscopic prostatectomy (RALP) in relation to their cognitive ability (CoAb), which proved to be a predictor for early post-prostatectomy incontinence. Material & Methods: This is the 12-month follow-up evaluation of our previously published observational single-center, prospective evaluation of 84 patients who underwent RALP as treatment of their localized prostate cancer between 07/2020 and 03/2021. Post-prostatectomy incontinence (PPI) was measured by asking patients about their 24 h pad usage, whereby 0 pads were considered continent and ≥1 pad was considered incontinent. CoAb was evaluated by performing the Mini-Mental State Examination prior to surgery. Possible predictors for PPI were evaluated using univariate and multivariable logistic regression models. Results: Multivariable logistic regression analyses identified early incontinence status and nerve sparing (NS) as independent predictors for PPI after 12 months, resulting in a 5.69 times higher risk for PPI when the loss of urine was between 10 and 50 ml during the early performed pad test (one day after catheter removal) compared to 0-1 ml loss of urine [95% confidence interval (CI): 1.33-28.30, p = 0.024] and a 6.77 times higher risk for PPI, respectively, when only unilateral NS was performed compared to bilateral NS (95% CI: 1.79-30.89, p = 0.007). CoAb lost its predictive value for long-term PPI ( p = 0.44). Conclusion: The results of this study suggest that PPI is a dynamic, rather than a static condition with a dynamically changing pathophysiology within the first 12 months after RALP. Coping methods and therapies should adapt to this circumstance. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (© 2022 Reichert, Ploeger, Uhlig, Strauss, Henniges, Trojan and Mohr.)
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فهرسة مساهمة:	Keywords: cognitive ability; long-term continence rates; nerve sparing; post-prostatectomy incontinence; predictor; prostate cancer; robot-assisted radical prostatectomy
تواريخ الأحداث:	Date Created: 20221212 Latest Revision: 20240908
رمز التحديث:	20240909
مُعرف محوري في PubMed:	PMC9727074
DOI:	10.3389/fsurg.2022.1055880
PMID:	36504580
قاعدة البيانات:	MEDLINE

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تدمد:	2296-875X
DOI:	10.3389/fsurg.2022.1055880