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Significance of postoperative membranous urethral length and position of vesicourethral anastomosis for short-term continence recovery following robot-assisted laparoscopic radical prostatectomy

We assess whether short-term recovery of urinary incontinence following robot-assisted laparoscopic radical prostatectomy (RARP) is associated with postoperative membranous urethral length (MUL) and position of vesico-urethral anastomosis (PVUA). Clinical variables including PVUA and pre-and postope...

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Bibliographic Details
Published in:BMC urology 2022-09, Vol.22 (1), p.145-7, Article 145
Main Authors: Nakanishi, Yasukazu, Matsumoto, Shunya, Okubo, Naoya, Tanabe, Kenji, Kataoka, Madoka, Yajima, Shugo, Masuda, Hitoshi
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Language:English
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Summary:We assess whether short-term recovery of urinary incontinence following robot-assisted laparoscopic radical prostatectomy (RARP) is associated with postoperative membranous urethral length (MUL) and position of vesico-urethral anastomosis (PVUA). Clinical variables including PVUA and pre-and postoperative MUL were evaluated in 251 patients who underwent RARP from August 2019 to February 2021. Continence recovery was defined as no pad or one security liner per day assessed by patient interview at least 6 months follow-up. Univariate and multivariate logistic regression analyses were used to assess variables associated with continence recovery at 3 months after the operation. Continence recovery rates at 3 and 6 months were 75% and 84%, respectively. Lower BMI (
ISSN:1471-2490
1471-2490
DOI:10.1186/s12894-022-01097-2