1129 FACTORS AFFECTING EARLY RECOVERY OF CONTINENCE AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY URODYNAMIC STUDY, URETHRAL LENGTH, AND NEUROVASCULAR BUNDLE SPARING

You have accessJournal of UrologyProstate Cancer: Localized V1 Apr 20121129 FACTORS AFFECTING EARLY RECOVERY OF CONTINENCE AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY URODYNAMIC STUDY, URETHRAL LENGTH, AND NEUROVASCULAR BUNDLE SPARING Young Hoon Choi, Sung Ik Bang, Jae Hyun Ahn, Seung Soo Lee, Hong Koo Ha, Dong Gil Shin, Soo Dong Kim, Sang Don Lee, Jeong Zoo Lee, and Moon Kee Chung Young Hoon ChoiYoung Hoon Choi Busan, Korea, Republic of More articles by this author , Sung Ik BangSung Ik Bang Busan, Korea, Republic of More articles by this author , Jae Hyun AhnJae Hyun Ahn Busan, Korea, Republic of More articles by this author , Seung Soo LeeSeung Soo Lee Busan, Korea, Republic of More articles by this author , Hong Koo HaHong Koo Ha Busan, Korea, Republic of More articles by this author , Dong Gil ShinDong Gil Shin Busan, Korea, Republic of More articles by this author , Soo Dong KimSoo Dong Kim Busan, Korea, Republic of More articles by this author , Sang Don LeeSang Don Lee Busan, Korea, Republic of More articles by this author , Jeong Zoo LeeJeong Zoo Lee Busan, Korea, Republic of More articles by this author , and Moon Kee ChungMoon Kee Chung Busan, Korea, Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1238AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We analyzed factors associated with early recovery of continence after laparoscopic radical prostatectomy. METHODS Among 450 patients treated with laparoscopic radical prostatectomy for localized prostate cancer between 2008 and 2010, 90 patients who underwent preoperative urodynamic study were enrolled. Patients′ age, Gleason score, PSA and prostate volume are recorded. Preoperative urodynamic parameters (maximal cystometric capacity (MCC), compliance and maximal detrusor pressure (Pdet)), membranous and prostatic urethral length on MRI and nerve sparing technique are analyzed. Patients were considered early recovery of continence when they need no pad within 3 months after surgery. RESULTS 62 patients are early recovery group and 28 are late recovery group. Mean patients′ age is 66.26±6.56 (51-81) and 67.54±6.46 (54-79) years old. Mean prostate volume is 34.08±14.59 (14.00-101.00) and 33.11±9.77cc (19.00-54.90). Mean Gleason score is 6.74±0.99 (5-10) and 7.04±1.20 (6-10). Mean serum PSA is 11.35±11.43 (0.84-83.66) and 16.92±21.40ng/ml (4.30-92.75). PSA was related with recovery timing (p=0.023). Membranous urethral lengths are 10.82±2.36 (7.03-16.88) and 9.59±1.78mm (6.75-12.66). Prostatic urethral lengths are 40.06±5.25 (27.02-59.07) and 41.34±4.55mm (34.43-52.31). Membrane-total urethral length ratio are 0.21±0.04 (0.13-0.32) and 0.19±0.03 (0.13-0.25). Prostatic-to-total urethral length ratio is 0.79±0.04 (0.68-0.87) and 0.81±0.03 (0.75-0.87). Membranous and prostatic urethral length are not associated with recovery timing, but membranous-to-total and prostatic-to-total urethral length ratio are related (p=0.033 and 0.033, respectively). MCC are 383.61±114.01 (161-602) and 367.96±125.65 ml (106-669). Compliance are 55.78±38.46 (1.70-200.70) and 60.24±63.33 ml/cmH2O (8.80-334.50). Pdet are 61.94±20.28 (21-142) and 57.46±24.10 (18-112). No, unilateral and bilateral neurovascular bundle sparing surgery were underwent to 3, 44 and 15 patients in early group, and 5, 16 and 7 patients in late group, respectively. Urodynamic parameters and neurovascular bundle sparing techniques are not associated with recovery timing. CONCLUSIONS Preoparative PSA, MRI measuring membranous-to-total and prostatic-to-total urethral length ratio are related with early recovery of continence after laparoscopic radical prostatectomy. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e457-e458 Peer Review Report Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Young Hoon Choi Busan, Korea, Republic of More articles by this author Sung Ik Bang Busan, Korea, Republic of More articles by this author Jae Hyun Ahn Busan, Korea, Republic of More articles by this author Seung Soo Lee Busan, Korea, Republic of More articles by this author Hong Koo Ha Busan, Korea, Republic of More articles by this author Dong Gil Shin Busan, Korea, Republic of More articles by this author Soo Dong Kim Busan, Korea, Republic of More articles by this author Sang Don Lee Busan, Korea, Republic of More articles by this author Jeong Zoo Lee Busan, Korea, Republic of More articles by this author Moon Kee Chung Busan, Korea, Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...