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タイトル: | ロボット支援下前立腺全摘除術後の尿失禁に関連する因子の検討 |
その他のタイトル: | Predictive Factor of Urinary Continence after Robot-Assisted Laparoscopic Radical Prostatectomy |
著者: | 高柳, 明夫 高橋, 敦 萬谷, 和香子 丸尾, 一貴 岡部, 洸 田端, 秀敏 高木, 良雄 |
著者名の別形: | Takayanagi, Akio Takahashi, Atsushi Yorozuya, Wakako Maruo, Kazutaka Okabe, Ko Tabata, Hidetoshi Takagi, Yoshio |
キーワード: | RARP SUI Predictive factor Membranous urethral length |
発行日: | 30-Nov-2019 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 65 |
号: | 11 |
開始ページ: | 451 |
終了ページ: | 454 |
抄録: | We examined the postoperative urinary continence rate, and preoperative and postoperative factors predicting postoperative urinary continence for patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP) at our hospital. In all, 122 patients who received RARP were retrospectively analyzed. All patients answered a questionnaire to evaluate the urinary condition and also had a follow-up period of 6 months or longer after surgery. We defined urinary continence to be the use of 1 pad per day or less, including a safety pad. Membranous urethral length (MUL) was measured using sagittal sections of T1-weighted MRI. Postoperative urinary incontinence rates were 48.7, 72.4, 82.6 and 86.8% at 3, 6, 12 and 24 months after surgery, respectively. MUL was a significant predictive factor of urinary continence at 6 months after surgery (p<0.01). We examined the factors predicting the urinary continence recovery at 6 months after surgery, including only patients who did not obtain urinary continence at 1 month after surgery. Two factors, MUL of 11 mm or longer and two pads per day at 1 month after surgery, were significant predictive factors of urinary continence recovery at 6 months after surgery (P=0.02, P=0.04). Patients who had a long MUL could easily obtain urinary continence after RARP compared to those with a short MUL. Most patients with a long MUL and with use of 2 pads per day at 1 month after surgery could obtain urinary continence at 6 months after surgery, even if they had urinary incontinence at 1 month after surgery. |
著作権等: | 許諾条件により本文は2020/12/01に公開 |
DOI: | 10.14989/ActaUrolJap_65_11_451 |
URI: | http://hdl.handle.net/2433/245253 |
PubMed ID: | 31902177 |
出現コレクション: | Vol.65 No.11 |
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