دورية أكاديمية
أعرض في EDS

Prospective evaluation of an intraoperative urodynamic stress test predicting urinary incontinence after robot-assisted laparoscopic radical prostatectomy.

التفاصيل البيبلوغرافية
العنوان: Prospective evaluation of an intraoperative urodynamic stress test predicting urinary incontinence after robot-assisted laparoscopic radical prostatectomy.
المؤلفون: Mohr MN; Department of Urology, University Medical Center, Goettingen, Germany., Uhlig A; Department of Urology, University Medical Center, Goettingen, Germany., Strauß A; Department of Urology, University Medical Center, Goettingen, Germany., Leitsmann C; Department of Urology, University Medical Center, Goettingen, Germany., Ahyai SA; Department of Urology, University Medical Center, Graz, Austria., Trojan L; Department of Urology, University Medical Center, Goettingen, Germany., Reichert M; Department of Urology, University Medical Center, Goettingen, Germany.
المصدر: Urology annals [Urol Ann] 2023 Apr-Jun; Vol. 15 (2), pp. 166-173. Date of Electronic Publication: 2023 Jan 16.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Publications Country of Publication: India NLM ID: 101510823 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0974-7796 (Print) Linking ISSN: 09747796 NLM ISO Abbreviation: Urol Ann Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Mumbai : Medknow Publications, 2009-
مستخلص: Introduction: Multiple factors influence postprostatectomy incontinence (PPI). This study evaluates the association between an intraoperative urodynamic stress test (IST) with PPI.
Materials and Methods: This is an observational, single-center, prospective evaluation of 109 robot-assisted laparoscopic radical prostatectomies (RALPs) performed between July 2020 and March 2021. All patients underwent an intraoperative urodynamic stress test (IST) in which the bladder is filled up to an intravesical pressure of 40 cm H 2 O to evaluate whether the rhabdomyosphincter is capable of withstanding the pressure and ensure continence. Early PPI was evaluated using a standardized 1-h pad test performed the day after removal of the urinary catheter. The association of IST and PPI was evaluated using univariate and multivariable logistic regression models.
Results: Nearly 76.6% of the patients showed no urine loss during the IST ("sufficient" population group). There was no significant correlation between this group and PPI after catheter removal ( P = 0.5). Subgroup analyses of the "sufficient" patient population showed a 3.1 higher risk of PPI when no nerve sparing was performed (95% confidence interval: 1.05-9.70, P = 0.045).
Conclusion: A sufficient IST, as a surrogate variable for a fully obtained rhabdomyosphincter, has no significant predictive value on its own but seems to be the optimal prerequisite for continence, since the data shows that the lack of neurovascular supply required for a functioning sphincter leads up to a 3.1 times higher risk for PPI.
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.
(Copyright: © 2023 Urology Annals.)
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فهرسة مساهمة: Keywords: Intraoperative urodynamic stress test; nerve sparing; postprostatectomy incontinence; predictor; prostate cancer; robot-assisted radical prostatectomy
تواريخ الأحداث: Date Created: 20230612 Latest Revision: 20231031
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10252780
DOI: 10.4103/ua.ua_47_22
PMID: 37304501
قاعدة البيانات: MEDLINE
الوصف
تدمد:0974-7796
DOI:10.4103/ua.ua_47_22