Advanced Reconstruction of Vesicourethral Support (ARVUS) during robot-assisted radical prostatectomy: first independent evaluation and review of other factors influencing 1 year continence outcomes
| Autor: | Peter Bujdak, Matúš Maciak, Vladimír Baláž, Viliam Kubas, Peter Beňo, Viktor Kováčik, Jozef Babeľa |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Nerve sparing Urology medicine.medical_treatment Urinary Bladder 030232 urology & nephrology 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures Urethra medicine Humans Statistical analysis Prospective Studies Aged Prostatectomy business.industry Anastomosis Surgical Significant difference Prostatic Neoplasms Middle Aged Neurovascular bundle Random effects model Treatment Outcome Urinary Incontinence Critical level 030220 oncology & carcinogenesis Urologic Surgical Procedures business Slightly worse |
| Zdroj: | World Journal of Urology. 38:1933-1941 |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-019-02975-5 |
| Popis: | Anterior and posterior reconstructions of pelvic structures are used during a robot-assisted radical prostatectomy to obtain better continence outcomes. This study was conducted to evaluate the Advanced Reconstruction of Vesicourethral Support (ARVUS), a novel postprostatectomy reconstruction technique. The study was designed as a prospective, controlled, partially randomized and blinded experiment. The statistical analysis was based on the generalized linear modeling (GLM) framework with random effects: the logit link was used to model the probability of achieving continence and the logarithmic link was used to evaluate the overall score of the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF). The significance of the fixed effects and all possible two-way interactions was tested using the critical level of 0.05. The probability of achieving the continence significantly depends on the neurovascular bundle sparing (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink