The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis
Abstract Background Recently, total pelvic floor reconstruction (TR) has been the treatment of choice for improving urinary incontinence (UI) after radical prostatectomy (RP). However, the superiority of TR with respect to urinary continence recovery following RP remains controversial. This study id...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | World Journal of Surgical Oncology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12957-017-1296-z |
| _version_ | 1818030423700144128 |
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| author | Yu-Peng Wu Ning Xu Shi-Tao Wang Shao-Hao Chen Yun-Zhi Lin Xiao-Dong Li Qing-Shui Zheng Yong Wei Xue-Yi Xue |
| author_facet | Yu-Peng Wu Ning Xu Shi-Tao Wang Shao-Hao Chen Yun-Zhi Lin Xiao-Dong Li Qing-Shui Zheng Yong Wei Xue-Yi Xue |
| author_sort | Yu-Peng Wu |
| collection | DOAJ |
| description | Abstract Background Recently, total pelvic floor reconstruction (TR) has been the treatment of choice for improving urinary incontinence (UI) after radical prostatectomy (RP). However, the superiority of TR with respect to urinary continence recovery following RP remains controversial. This study identified the effect of TR versus nonTR of the pelvic floor on short-term and long-term continence rates after RP. Methods A literature search was performed in November 2017 using the PubMed, Embase, and Web of Science databases. Only comparative research or clinical studies reporting urinary continence outcomes was included in the meta-analysis, and the quality of evidence was evaluated using the 2011 Level of Evidence for therapy research. Results We analyzed ten studies reporting urinary continence rates after RP at one or more postoperative time points (1, 2, 4, 12, 24, and 52 weeks). TR was associated with significantly better urinary continence outcomes at 1 week (OR 2.76, 95% CI 1.58–4.84, P < 0.001), 2 weeks (OR 2.57, 95% CI 1.74–3.80, P < 0.001), 4 weeks (OR 2.61, 95% CI 1.56–4.38, P < 0.001), 12 weeks (OR 4.33, 95% CI 2.01–9.33, P < 0.001), 24 weeks (OR 3.83, 95% CI 1.54–9.55, P = 0.004), 52 weeks (OR 4.10, 95% CI 1.80–9.38, P < 0.001) after RP. There was no difference in the rate of complications between the two arms (OR 0.54, 95% CI 0.19–1.54, P = 0.25). Conclusions Compared with nonTR, TR is significantly and positively associated with a return to continence but not with complication rate in men following RP, suggesting that TR may be useful for decreasing the urinary incontinence rate after surgery. |
| first_indexed | 2024-12-10T05:35:21Z |
| format | Article |
| id | doaj.art-de33e9ab8915459db370e305dd0e4b21 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-12-10T05:35:21Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-de33e9ab8915459db370e305dd0e4b212022-12-22T02:00:25ZengBMCWorld Journal of Surgical Oncology1477-78192017-12-0115111310.1186/s12957-017-1296-zThe efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysisYu-Peng Wu0Ning Xu1Shi-Tao Wang2Shao-Hao Chen3Yun-Zhi Lin4Xiao-Dong Li5Qing-Shui Zheng6Yong Wei7Xue-Yi Xue8Department of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityDepartment of Urology, The First Affiliated Hospital of Fujian Medical UniversityAbstract Background Recently, total pelvic floor reconstruction (TR) has been the treatment of choice for improving urinary incontinence (UI) after radical prostatectomy (RP). However, the superiority of TR with respect to urinary continence recovery following RP remains controversial. This study identified the effect of TR versus nonTR of the pelvic floor on short-term and long-term continence rates after RP. Methods A literature search was performed in November 2017 using the PubMed, Embase, and Web of Science databases. Only comparative research or clinical studies reporting urinary continence outcomes was included in the meta-analysis, and the quality of evidence was evaluated using the 2011 Level of Evidence for therapy research. Results We analyzed ten studies reporting urinary continence rates after RP at one or more postoperative time points (1, 2, 4, 12, 24, and 52 weeks). TR was associated with significantly better urinary continence outcomes at 1 week (OR 2.76, 95% CI 1.58–4.84, P < 0.001), 2 weeks (OR 2.57, 95% CI 1.74–3.80, P < 0.001), 4 weeks (OR 2.61, 95% CI 1.56–4.38, P < 0.001), 12 weeks (OR 4.33, 95% CI 2.01–9.33, P < 0.001), 24 weeks (OR 3.83, 95% CI 1.54–9.55, P = 0.004), 52 weeks (OR 4.10, 95% CI 1.80–9.38, P < 0.001) after RP. There was no difference in the rate of complications between the two arms (OR 0.54, 95% CI 0.19–1.54, P = 0.25). Conclusions Compared with nonTR, TR is significantly and positively associated with a return to continence but not with complication rate in men following RP, suggesting that TR may be useful for decreasing the urinary incontinence rate after surgery.http://link.springer.com/article/10.1186/s12957-017-1296-zTotal reconstructionPelvic floorUrinary continenceRadical prostatectomy |
| spellingShingle | Yu-Peng Wu Ning Xu Shi-Tao Wang Shao-Hao Chen Yun-Zhi Lin Xiao-Dong Li Qing-Shui Zheng Yong Wei Xue-Yi Xue The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis World Journal of Surgical Oncology Total reconstruction Pelvic floor Urinary continence Radical prostatectomy |
| title | The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis |
| title_full | The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis |
| title_fullStr | The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis |
| title_full_unstemmed | The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis |
| title_short | The efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short-term and long-term urinary continence rates after radical prostatectomy: a meta-analysis |
| title_sort | efficacy and feasibility of total reconstruction versus nontotal reconstruction of the pelvic floor on short term and long term urinary continence rates after radical prostatectomy a meta analysis |
| topic | Total reconstruction Pelvic floor Urinary continence Radical prostatectomy |
| url | http://link.springer.com/article/10.1186/s12957-017-1296-z |
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