Improvement in early continence after introduction of periurethral suspension stitch in robotic prostatectomy
| Autor: | Tore Knutsen, Erling Aarsæther, Bård Soltun, Marius Roaldsen, Hiten Rh Patel |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Urinary system 030232 urology & nephrology Health Informatics Urinary incontinence Robotic prostatectomy 03 medical and health sciences Prostate cancer 0302 clinical medicine Robotic Surgical Procedures VDP::Teknologi: 500::Medisinsk teknologi: 620 Prostate Statistical significance Humans Medicine VDP::Medisinske Fag: 700 Retrospective Studies Prostatectomy Urinary continence business.industry Suspension stitch Prostatic Neoplasms Recovery of Function Robotics Odds ratio medicine.disease Surgery VDP::Medical disciplines: 700 medicine.anatomical_structure 030220 oncology & carcinogenesis Original Article medicine.symptom business Body mass index VDP::Technology: 500::Medical technology: 620 |
| Zdroj: | Journal of Robotic Surgery |
| ISSN: | 1863-2491 1863-2483 |
| Popis: | Early urinary incontinence remains a major source of morbidity for patients undergoing robotic prostatectomy. The purpose of the study was to determine whether the introduction of a suspension stitch would improve early urinary continence rates in patients undergoing robotic prostatectomy for localized prostate cancer at our department. We retrospectively reviewed patients undergoing robotic prostatectomy with either suspension (n = 119) or figure-of-eight (n = 48) stitching of the dorsal venous complex. The patients submitted EPIC-26 questionnaires before surgery and after 3 and 18 months, respectively. Logistic regression analysis was run to determine the effect of the suspension stitch, nerve-sparing, posterior reconstruction, prostate volume, age and body mass index on early continence rate. The odds ratio of experiencing urinary leaks was 2.1 times higher (95% CI 1.0–4.3) in the figure-of-eight stitch group compared to the suspension stitch group 3 months after surgery (p p p = 0.1). Ordinal regression analysis identified the suspension stitch, bilateral nerve-sparing and body mass index as independent predictors of urinary continence at 3 months. The association between urinary continence and either unilateral nerve-sparing, posterior reconstruction, prostate volume or age did not reach statistical significance. Our results suggest that the suspension stitch improved early urinary continence following robotic prostatectomy. |
| Databáze: | OpenAIRE |
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