Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters
Background/Purpose: To investigate the relationship between post-operative bladder neck levels and urodynamic parameters and their effect on urinary incontinence after laparoscopic radical prostatectomy (LRP). Methods: Forty-eight consecutive patients undergoing LRP were retrospectively reviewed. Al...
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| Format: | Article |
| Language: | English |
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Elsevier
2019-01-01
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| Series: | Journal of the Formosan Medical Association |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664617305478 |
| _version_ | 1811270400078774272 |
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| author | Hsu-Che Huang Yuan-Hong Jiang Victor Chia-Hsiang Lin Yao-Chou Tsai Hann-Chorng Kuo |
| author_facet | Hsu-Che Huang Yuan-Hong Jiang Victor Chia-Hsiang Lin Yao-Chou Tsai Hann-Chorng Kuo |
| author_sort | Hsu-Che Huang |
| collection | DOAJ |
| description | Background/Purpose: To investigate the relationship between post-operative bladder neck levels and urodynamic parameters and their effect on urinary incontinence after laparoscopic radical prostatectomy (LRP). Methods: Forty-eight consecutive patients undergoing LRP were retrospectively reviewed. All patients were assessed using retrograde cystography after LRP and were grouped according to their bladder neck position: Level 0: at or above the superior margin of the symphysis pubis (SMSP); Level −1: at <2 cm below SMSP; and Level −2: at >2 cm below SMSP. Urodynamic studies were conducted at baseline as well as at 1 and 3 months post-operatively. Early recovery of urinary continence was defined as no urine leakage or only one pad/day used within 3 months after surgery. Demographic characteristics, changes in urodynamic parameters, and continence outcomes were analyzed. Results: Overall rate of early recovery of urinary continence was 33.3%. Patients with higher bladder neck levels experienced a significantly earlier recovery of urinary continence in univariate analysis (77.8%, 29.2%, and 13.3% for bladder neck levels 0, −1, and −2, respectively, p = 0.004). Patients with early recovery of urinary continence had significantly longer functional profile lengths (FPLs) 1 month post-surgery (21.0 mm vs 14.8 mm, p = 0.019). Higher bladder neck levels were significantly associated with longer FPLs at 1 month (p = 0.032). Conclusion: Bladder neck level is associated with FPLs at 1 month post-surgery, which is the possible predictor of early recovery of urinary continence after LRP. Patients with longer FPL at 1 month after LRP have a higher rate of early recovery of urine continence. Keywords: Prostatectomy, Urinary incontinence, Urodynamics |
| first_indexed | 2024-04-12T22:00:04Z |
| format | Article |
| id | doaj.art-ec7a0aac20624a938217bf789eefe765 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-12T22:00:04Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-ec7a0aac20624a938217bf789eefe7652022-12-22T03:15:09ZengElsevierJournal of the Formosan Medical Association0929-66462019-01-011181237243Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parametersHsu-Che Huang0Yuan-Hong Jiang1Victor Chia-Hsiang Lin2Yao-Chou Tsai3Hann-Chorng Kuo4Division of Urology, Department of Surgery, Cardinal Tien Hospital, New Taipei, TaiwanDepartment of Urology, Buddhist Tzu-Chi General Hospital, Hualien, TaiwanDepartment of Urology, E-Da Hospital, and I-Shou University, Kaohsiung, TaiwanDivision of Urology, Department of Surgery, Taipei Tzu Chi General Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, TaiwanDepartment of Urology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan; Corresponding author. Department of Urology, Buddhist Tzu-Chi General Hospital, No. 707, section 3, Chung Yang Road, Hualien, Taiwan.Background/Purpose: To investigate the relationship between post-operative bladder neck levels and urodynamic parameters and their effect on urinary incontinence after laparoscopic radical prostatectomy (LRP). Methods: Forty-eight consecutive patients undergoing LRP were retrospectively reviewed. All patients were assessed using retrograde cystography after LRP and were grouped according to their bladder neck position: Level 0: at or above the superior margin of the symphysis pubis (SMSP); Level −1: at <2 cm below SMSP; and Level −2: at >2 cm below SMSP. Urodynamic studies were conducted at baseline as well as at 1 and 3 months post-operatively. Early recovery of urinary continence was defined as no urine leakage or only one pad/day used within 3 months after surgery. Demographic characteristics, changes in urodynamic parameters, and continence outcomes were analyzed. Results: Overall rate of early recovery of urinary continence was 33.3%. Patients with higher bladder neck levels experienced a significantly earlier recovery of urinary continence in univariate analysis (77.8%, 29.2%, and 13.3% for bladder neck levels 0, −1, and −2, respectively, p = 0.004). Patients with early recovery of urinary continence had significantly longer functional profile lengths (FPLs) 1 month post-surgery (21.0 mm vs 14.8 mm, p = 0.019). Higher bladder neck levels were significantly associated with longer FPLs at 1 month (p = 0.032). Conclusion: Bladder neck level is associated with FPLs at 1 month post-surgery, which is the possible predictor of early recovery of urinary continence after LRP. Patients with longer FPL at 1 month after LRP have a higher rate of early recovery of urine continence. Keywords: Prostatectomy, Urinary incontinence, Urodynamicshttp://www.sciencedirect.com/science/article/pii/S0929664617305478 |
| spellingShingle | Hsu-Che Huang Yuan-Hong Jiang Victor Chia-Hsiang Lin Yao-Chou Tsai Hann-Chorng Kuo Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters Journal of the Formosan Medical Association |
| title | Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters |
| title_full | Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters |
| title_fullStr | Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters |
| title_full_unstemmed | Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters |
| title_short | Possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy – Bladder neck level and urodynamic parameters |
| title_sort | possible predictor of early recovery on urinary continence after laparoscopic radical prostatectomy bladder neck level and urodynamic parameters |
| url | http://www.sciencedirect.com/science/article/pii/S0929664617305478 |
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