دورية أكاديمية
Precise Prediction of Long-Term Urinary Incontinence after Robot-Assisted Laparoscopic Radical Prostatectomy by Readily Accessible "Everyday" Diagnostics during Post-Surgical Hospitalization.
| العنوان: | Precise Prediction of Long-Term Urinary Incontinence after Robot-Assisted Laparoscopic Radical Prostatectomy by Readily Accessible "Everyday" Diagnostics during Post-Surgical Hospitalization. |
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| المؤلفون: | Mohr MN; Department of Urology, University Medical Center Goettingen, 37075 Göttingen, Germany., Ploeger HM; Department of Pediatrics, University Hospital Bonn, 53127 Bonn, Germany., Leitsmann M; Department of Urology, Medical University Graz, 8010 Graz, Austria., Leitsmann C; Department of Urology, Medical University Graz, 8010 Graz, Austria., Gayer FA; Department of Urology, University Medical Center Goettingen, 37075 Göttingen, Germany., Trojan L; Department of Urology, University Medical Center Goettingen, 37075 Göttingen, Germany., Reichert M; Department of Urology, University Medical Center Goettingen, 37075 Göttingen, Germany. |
| المصدر: | Clinics and practice [Clin Pract] 2024 Apr 23; Vol. 14 (3), pp. 661-671. Date of Electronic Publication: 2024 Apr 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101563282 Publication Model: Electronic Cited Medium: Print ISSN: 2039-7275 (Print) Linking ISSN: 20397275 NLM ISO Abbreviation: Clin Pract Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : Basel, Switzerland : MDPI Original Publication: Pavia : PAGEPress |
| مستخلص: | Aim and Objectives: We aimed to test the predictive value of readily accessible and easily performed post-surgical "bedside tests" on their validity of long-term urinary incontinence (UI) (≥12 months) in patients following robot-assisted laparoscopic radical prostatectomy (RALP). Material and Methods: Patients undergoing RALP between July 2020 and March 2021 were prospectively included and subdivided into two groups based on their pad usage after 12 months (0 vs. ≥1 pad). After catheter removal, patients performed a 1 h pad test, documented the need for pad change in a micturition protocol and received post-voiding residual urine volume ultrasound. Univariate and multivariable analyses were used to demonstrate the predictive value of easily accessible tests applied after catheter removal for UI following RALP. Results: Of 109 patients, 47 (43%) had to use at least one pad (vs. 62 (57%) zero pads) after 12 months. Univariate testing showed a significant difference in urine loss between both groups evaluated by the 1 h pad test performed within 24 h after catheter removal (70% < 10 mL, vs. 30% ≥ 10 mL, p = 0.004) and in the need for pad change within the first 24 h after catheter removal (14% dry pads vs. 86% wet pads, p = 0.003). In multivariable analyses, the combination of both tests (synoptical incontinence score) could be confirmed as an independent predictor for UI after 12 months ( p = 0.011). Conclusions: Readily accessible "everyday" diagnostics (pad test/change of pads after catheter removal) following RALP seem to be associated with a higher rate of long-term UI. This finding is crucial since patients with a potentially higher need for patient education and counselling can be identified using these readily accessible tests. This could lead to a higher patient satisfaction and improved outcomes. |
| References: | World J Urol. 2016 May;34(5):665-72. (PMID: 26391484) Int J Urol. 2024 May;31(5):492-499. (PMID: 38196247) Minerva Urol Nefrol. 2020 Oct;72(5):640-641. (PMID: 32993276) Medicina (Kaunas). 2023 Jun 15;59(6):. (PMID: 37374357) Eur Urol Focus. 2023 Sep;9(5):824-831. (PMID: 37032279) PLoS One. 2022 Oct 6;17(10):e0275069. (PMID: 36201466) Ir J Med Sci. 2024 Jun;193(3):1603-1612. (PMID: 38200383) Neurourol Urodyn. 2021 Mar;40(3):840-847. (PMID: 33604977) Neurourol Urodyn. 2013 Sep;32(7):957-63. (PMID: 23371847) Urology. 2014 Apr;83(4):888-92. (PMID: 24680458) Eur Urol. 2011 Aug;60(2):320-9. (PMID: 21458913) J Urol. 2003 Aug;170(2 Pt 1):512-5. (PMID: 12853811) Arch Ital Urol Androl. 2001 Sep;73(3):127-37. (PMID: 11822054) Urol Ann. 2023 Apr-Jun;15(2):166-173. (PMID: 37304501) Eur Urol Focus. 2022 May;8(3):674-689. (PMID: 33967010) Int Neurourol J. 2020 Jun;24(2):156-162. (PMID: 32615678) Eur Urol. 2009 Aug;56(2):317-24. (PMID: 19501454) World J Urol. 2004 Oct;22(4):267-71. (PMID: 14727136) Urol Int. 1998;60(2):80-4. (PMID: 9563144) J Robot Surg. 2023 Feb;17(1):177-184. (PMID: 35459985) Eur Urol. 2012 Aug;62(2):333-40. (PMID: 22591631) Beijing Da Xue Xue Bao Yi Xue Ban. 2023 Oct 18;55(5):818-824. (PMID: 37807734) Eur Urol. 2017 Jun;71(6):936-944. (PMID: 27720536) BJU Int. 2024 Jun;133(6):646-655. (PMID: 37667431) Can Urol Assoc J. 2019 May;13(5):E125-E131. (PMID: 30332593) BJU Int. 2006 Jun;97(6):1234-41. (PMID: 16686718) Asian J Endosc Surg. 2024 Jan;17(1):e13243. (PMID: 37740401) Oncol Nurs Forum. 2003 Mar-Apr;30(2):229-38. (PMID: 12692657) J Patient Rep Outcomes. 2020 Jul 13;4(1):56. (PMID: 32661594) Eur Urol. 2015 Mar;67(3):559-68. (PMID: 25457018) Scand J Urol Nephrol. 1984;18(4):293-8. (PMID: 6505643) |
| فهرسة مساهمة: | Keywords: EPIC-26; nerve sparing; pad changing; pad test; robot-assisted laparoscopic radical prostatectomy; urinary incontinence |
| تواريخ الأحداث: | Date Created: 20240528 Latest Revision: 20240530 |
| رمز التحديث: | 20240530 |
| مُعرف محوري في PubMed: | PMC11130891 |
| DOI: | 10.3390/clinpract14030053 |
| PMID: | 38804385 |
| قاعدة البيانات: | MEDLINE |
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