Early urinary continence recovery following retzius-sparing robotic-assistant radical prostatectomy with suprapubic catheter: a short-term follow-up outcome
| Autor: | Ye Lei, Patrick Zanker, J. Mundhenk, Jun Qi, Zhongqing Yang, Ding Xu, Christian Schwentner |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Nephrology medicine.medical_specialty Time Factors Urology medicine.medical_treatment 030232 urology & nephrology Urination Urinary incontinence 03 medical and health sciences Prostate cancer Catheters Indwelling 0302 clinical medicine Robotic Surgical Procedures Internal medicine medicine Humans Aged Retrospective Studies Prostatectomy Urinary continence business.industry Prostatic Neoplasms Recovery of Function Middle Aged medicine.disease Surgery Catheter Treatment Outcome 030220 oncology & carcinogenesis Laparoscopic Prostatectomy International Prostate Symptom Score medicine.symptom Urinary Catheterization business Follow-Up Studies |
| Zdroj: | World Journal of Urology. 39:3251-3257 |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-021-03643-3 |
| Popis: | To evaluate the recovery of early urinary continence in patients with prostate cancer using a suprapubic catheter during Retzius-sparing robotic-assistant laparoscopic prostatectomy. From January 2018 to January 2019, 223 patients diagnosed with prostate cancer who underwent Retzius-sparing robotic-assistant laparoscopic prostatectomy in Diakonie Klinikum Stuttgart were involved in our study. From January 2018 to June 2018, patients (112 cases) only had an indwelling urinary catheter during Retzius-sparing robotic-assistant laparoscopic prostatectomy, while from July 2018 to January 2019, patients (111 cases) were offered an extra suprapubic catheter during operation. The recovery of early urinary continence of patients was mainly investigated one month later. The overall early urinary continence rate was 81.61%. Patients with suprapubic catheter had better urinary control results, compared to patients with only indwelling urinary catheter (87.39% vs 75.89%, p = 0.027). In addition, International Prostate Symptom Score and irritative subscore in patients with good urinary control were significantly lower than that in patients with urinary incontinence. Suprapubic catheter insertion (OR 0.395; 95% CI 0.190–0.821) and advanced pathological tumor stage (T3a–T4) (OR 2.061; 95% CI 1.008–4.217) were two independent influencing factors for early urinary continence recovery in patients who underwent Retzius-sparing robotic-assistant laparoscopic prostatectomy through multivariate logistic regression analysis. Suprapubic catheter insertion may be helpful for early urinary continence recovery in patients with Retzius-sparing Robotic-assistant laparoscopic prostatectomy. Advanced pathological tumor stage (T3a–T4) before Retzius-sparing robotic-assistant laparoscopic prostatectomy might be associated with poor urinary control. |
| Databáze: | OpenAIRE |
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