Factors Affecting Return of Continence 3 Months After Robot-Assisted Radical Prostatectomy: Analysis From a Large, Prospective Data by a Single Surgeon
DC Field | Value | Language |
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dc.contributor.author | Ko, Young Hwii | - |
dc.contributor.author | Coelho, Rafael F. | - |
dc.contributor.author | Chauhan, Sanket | - |
dc.contributor.author | Sivaraman, Ananthakrishnan | - |
dc.contributor.author | Schatloff, Oscar | - |
dc.contributor.author | Cheon, Jun | - |
dc.contributor.author | Patel, Vipul R. | - |
dc.date.accessioned | 2021-09-06T23:19:36Z | - |
dc.date.available | 2021-09-06T23:19:36Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2012-01 | - |
dc.identifier.issn | 0022-5347 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/109140 | - |
dc.description.abstract | Purpose: In this study we identified preoperative or intraoperative factors responsible for the early return of continence after robot-assisted radical prostatectomy using data from a high volume center. Materials and Methods: Data from 1,299 patients who underwent robot-assisted radical prostatectomy performed by a single surgeon from January 2008 to June 2010 were collected prospectively and analyzed retrospectively. Patients were categorized according to whether they regained continence (no pad and no urinary leakage) within 3 months and variables were then compared. A self-administered validated questionnaire (Expanded Prostate Cancer Index Composite) was used for assessment of continence status and time to recovery. Results: Within 3 months after surgery 86.3% of patients (1,121/1,299) had recovered continence. Multivariable Cox regression analysis revealed that only age (p < 0.001, hazard ratio 0.98, 95% CI 0.97-0.99) and performance of a nerve sparing procedure were independent predictors. After adjusting for age, the hazard ratio was 1.61 (95% CI 1.25-2.07, p < 0.001) for partial nerve sparing and 1.44 (1.13-1.83, p = 0.003) for bilateral nerve sparing compared to the nonnerve sparing group. Median time (95% CI) to the recovery of continence was prolonged in the nonnerve sparing group compared to nerve sparing counterparts at 6 (5.12-6.88), 4 (3.60-4.40) and 5 weeks (4.70-5.30) in the nonnerve sparing, partial nerve sparing and bilateral nerve sparing groups, respectively, with log rank p < 0.01. Conclusions: Findings from our analysis indicate that the likelihood of postoperative urinary control was significantly higher in younger patients and when a nerve sparing procedure was performed. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | URINARY CONTINENCE | - |
dc.subject | RETROPUBIC PROSTATECTOMY | - |
dc.subject | PRESERVATION | - |
dc.subject | CANCER | - |
dc.subject | IMPACT | - |
dc.title | Factors Affecting Return of Continence 3 Months After Robot-Assisted Radical Prostatectomy: Analysis From a Large, Prospective Data by a Single Surgeon | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Ko, Young Hwii | - |
dc.contributor.affiliatedAuthor | Cheon, Jun | - |
dc.identifier.doi | 10.1016/j.juro.2011.09.037 | - |
dc.identifier.scopusid | 2-s2.0-83555172656 | - |
dc.identifier.wosid | 000298148000054 | - |
dc.identifier.bibliographicCitation | JOURNAL OF UROLOGY, v.187, no.1, pp.190 - 194 | - |
dc.relation.isPartOf | JOURNAL OF UROLOGY | - |
dc.citation.title | JOURNAL OF UROLOGY | - |
dc.citation.volume | 187 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 190 | - |
dc.citation.endPage | 194 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Urology & Nephrology | - |
dc.relation.journalWebOfScienceCategory | Urology & Nephrology | - |
dc.subject.keywordPlus | URINARY CONTINENCE | - |
dc.subject.keywordPlus | RETROPUBIC PROSTATECTOMY | - |
dc.subject.keywordPlus | PRESERVATION | - |
dc.subject.keywordPlus | CANCER | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordAuthor | urinary incontinence | - |
dc.subject.keywordAuthor | prostatectomy | - |
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