Urinary Continence after Robot-Assisted Laparoscopic Radical Prostatectomy: The Impact of Intravesical Prostatic Protrusion
DC Field | Value | Language |
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dc.contributor.author | Jo, Jung Ki | - |
dc.contributor.author | Hong, Sung Kyu | - |
dc.contributor.author | Byun, Seok-Soo | - |
dc.contributor.author | Zargar, Homayoun | - |
dc.contributor.author | Autorino, Riccardo | - |
dc.contributor.author | Lee, Sang Eun | - |
dc.date.accessioned | 2022-07-15T07:13:32Z | - |
dc.date.available | 2022-07-15T07:13:32Z | - |
dc.date.created | 2021-05-12 | - |
dc.date.issued | 2016-09 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/154002 | - |
dc.description.abstract | Purpose: To assess the impact of intravesical prostatic protrusion (IPP) on the outcomes of robot-assisted laparoscopic prostatectomy (RALP). Materials and Methods: The medical records of 1094 men who underwent RALP from January 2007 to March 2013 were analyzed using our database to identify 641 additional men without IPP (non-IPP group). We excluded 259 patients who presented insufficient data and 14 patients who did not have an MRI image. We compared the following parameters: preoperative transrectal ultrasound, prostate specific antigen (PSA), clinicopathologic characteristics, intraoperative characteristics, postoperative oncologic characteristics, minor and major postoperative complications, and continence until postoperative 1 year. IPP grade was stratified by grade into three groups: Grade 1 (IPP <= 5 mm), Grade 2 (5 mm< IPP <= 10 mm), and Grade 3 (IPP> 10 mm). Results: Of the 821 patients who underwent RALP, 557 (67.8%) experienced continence at postoperative 3 months, 681 (82.9%) at 6 months, and 757 (92.2%) at 12 months. According to IPP grade, there were significant differences in recovering full continence at postoperative 3 months, 6 months, and 12 months (p<0.001). On multivariate analysis, IPP was the most powerful predictor of postoperative continence in patients who underwent RALP (p<0.001). Using a generalized estimating equation model, IPP also was shown to be the most powerful independent variable for postoperative continence in patients who underwent RALP (p<0.001). Conclusion: Patients with low-grade IPP have significantly higher chances of recovering full continence. Therefore, the known IPP grade will be helpful during consultations with patients before RALP. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | YONSEI UNIV COLL MEDICINE | - |
dc.title | Urinary Continence after Robot-Assisted Laparoscopic Radical Prostatectomy: The Impact of Intravesical Prostatic Protrusion | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Jo, Jung Ki | - |
dc.identifier.doi | 10.3349/ymj.2016.57.5.1145 | - |
dc.identifier.scopusid | 2-s2.0-84978150708 | - |
dc.identifier.wosid | 000388218800013 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, v.57, no.5, pp.1145 - 1151 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.citation.title | YONSEI MEDICAL JOURNAL | - |
dc.citation.volume | 57 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 1145 | - |
dc.citation.endPage | 1151 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002135097 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | BLADDER OUTLET OBSTRUCTION | - |
dc.subject.keywordPlus | MEDIAN LOBE ANATOMY | - |
dc.subject.keywordPlus | NECK PRESERVATION | - |
dc.subject.keywordPlus | VOLUME | - |
dc.subject.keywordPlus | CANCER | - |
dc.subject.keywordPlus | RECOVERY | - |
dc.subject.keywordPlus | ANTIGEN | - |
dc.subject.keywordPlus | RATES | - |
dc.subject.keywordPlus | MEN | - |
dc.subject.keywordAuthor | Continence | - |
dc.subject.keywordAuthor | intravesical prostatic protrusion | - |
dc.subject.keywordAuthor | robot assisted radical prostatectomy | - |
dc.subject.keywordAuthor | transrectal ultrasonography | - |
dc.identifier.url | https://eymj.org/DOIx.php?id=10.3349/ymj.2016.57.5.1145 | - |
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