Does Retzius-Sparing robot-assisted radical prostatectomy guarantee optimal urinary continence recovery across all ages?

Autor: Dell'Oglio P; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy. paolo.delloglio@gmail.com.; Department of Urology, Netherlands Cancer Institute-Antoni Van Leeuwenhoek Hospital, Amsterdam, The Netherlands. paolo.delloglio@gmail.com.; Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands. paolo.delloglio@gmail.com., Tappero S; Ospedale Policlinico San Martino, Genova, Italy.; Department of Surgical and Diagnostic Integrated Sciences (DISC), University of Genova, Genova, Italy., Maltzman O; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Olivero A; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Secco S; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Di Trapani D; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Bocciardi AM; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., Galfano A; Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Jazyk: angličtina
Zdroj: Prostate cancer and prostatic diseases [Prostate Cancer Prostatic Dis] 2024 Jan 20. Date of Electronic Publication: 2024 Jan 20.
DOI: 10.1038/s41391-023-00784-x
Abstrakt: The association between age at surgery and urinary continence (UC) recovery after Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) is not well established. We addressed this knowledge gap, relying on a large series of 1,417 patients treated with RS-RARP at a high-volume centre between 2010 and 2021. Multivariable logistic models, as well as LOESS plot functions were performed. The probability of immediate, as well as 12-month UC-recovery progressively declined with increasing age at surgery, and per 5-years age at surgery increase reached the independent predictor status for both immediate and 12-month UC-recovery. These findings may significantly improve the quality of patient counseling regarding RS-RARP.
(© 2024. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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