دورية
The role of preoperative prostatic shape in the recovery of urinary continence after robotic radical prostatectomy: a single cohort analysis
| العنوان: | The role of preoperative prostatic shape in the recovery of urinary continence after robotic radical prostatectomy: a single cohort analysis |
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| المؤلفون: | Iacovelli, V., Carilli, M., Sandri, M., Forte, V., Cipriani, C., Bertolo, R., Vittori, M., Petta, F., Maiorino, F., Signoretti, M., Antonucci, M., Cavallo, A. U., Sperandio, M., Finazzi Agrò, E., Bove, P. |
| المصدر: | Prostate Cancer and Prostatic Diseases; June 2023, Vol. 26 Issue: 2 p374-378, 5p |
| مستخلص: | Background: To explore the role of preoperative MRI prostate shape in urinary incontinence after robot-assisted radical prostatectomy (RARP). Methods: Patients were stratified into four groups based on the mpMRI prostatic apex shape: Group A (prostatic apex overlapping the membranous urethra anteriorly and posteriorly), Group B and C (overlap of the prostatic apex of the anterior or posterior membranous urethra, respectively) and Group D (no overlap). Preoperative variables and intraoperative data were compared. Continence recovery was defined as no pad/day or 1 safety pad/day by an outpatient evaluation performed at 1, 3, 6, and 12 months after RARP. Results: One hundred patients underwent RARP were classified as belonging to Group A (n= 30), Group B (n= 16), Group C (n= 14), and Group D (n= 40). Group D showed a significantly more favorable urinary continence recovery after RARP respect to all the other shapes presenting any forms of overlapping (HR = 1.9, 95% CI 1.2–3.1, p= 0.007). The estimated HR remained substantially unchanged after adjusting by age, body mass index, CCI, prostate volume, and bladder neck sparing (HR = 1.9, 95% CI 1.1–3.2, p= 0.016). The continence recovery median time was 9 months for Group A + B + C (95% CI 5–11) and 4 months for Group D (95% CI 2–6) (p= 0.023). Conclusion: Shape D showed a better continence recovery when compared to other shapes presenting any kind of overlapping of the prostatic apex over the membranous urethra. |
| قاعدة البيانات: | Supplemental Index |
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Full Text Finder | تدمد: | 13657852 14765608 |
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| DOI: | 10.1038/s41391-022-00563-0 |