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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 234 - 239 (6page)
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초록· 키워드
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Purpose: To analyze the clinical parameters correlated with early recovery of urinary continence after radical prostatectomy, with a focus on urethral mobility during pelvic contraction at catheter removal. Methods: We prospectively analyzed 67 patients who underwent prostatectomy for prostate cancer at Jeju National University Hospital from January 2015 to June 2018. At the time of catheter removal, a cystography was performed in 67 men (median age, 65 years; range, 55–76 years) who had undergone robot-assisted laparoscopic prostatectomy. The vertical length of bladder neck movement between relaxing and contracting the pelvic muscles was measured. The correlation between the rate of continence recovery and the length of urethral movement was also assessed. All participants were divided into 2 groups according to the length of bladder neck elevation. Group 1 had ≥0.6 cm of elevation, while group 2 demonstrated <0.6 cm of elevation. Results: A reverse correlation existed between the length of urethral movement and the recovery rate of urinary continence (r=–0.488, P<0.001). The optimal cutoff value for length of urethral movement was found to be 0.6 cm among patients (area under the curve, 0.703). A statistically significant difference was observed between group 1 (length≥0.6 cm) and group 2 (<0.6 cm) (P<0.05). Multivariate regression analysis showed that urethral movement predicted the postoperative urinary incontinence. Conclusions: The extent of bladder neck elevation after robot-assisted laparoscopic prostatectomy, which can be easily evaluated using cystography, may be a good predictor of the recovery of urinary continence.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Loughlin KR / 2010 / Post-prostatectomy urinary incontinence : a confluence of 3 factors / J Urol 183:871~877
Hammerer P / 1997 / Urodynamic evaluation of changes in urinary control after radical retropubic prostatectomy / J Urol 157:233~236
Sugi M / 2018 / The narrow vesicourethral angle measured on postoperative cystography can predict urinary incontinence after robot-assisted laparoscopic radical prostatectomy / Scand J Urol 52:151~156
Fukui S / 2019 / Postoperative cystogram findings predict recovery of urinary continence after robot-assisted laparoscopic radical prostatectomy / Low Urin Tract Symptoms 11:143~150
Jeong SJ / 2011 / Early recovery of urinary continence after radical prostatectomy : correlation with vesico-urethral anastomosis location in the pelvic cavity measured by postoperative cystography / Int J Urol 18:444~451
Hammerer P / 1997 / Urodynamic evaluation of changes in urinary control after radical retropubic prostatectomy / J Urol 157:233~236
Sugi M / 2018 / The narrow vesicourethral angle measured on postoperative cystography can predict urinary incontinence after robot-assisted laparoscopic radical prostatectomy / Scand J Urol 52:151~156
Fukui S / 2019 / Postoperative cystogram findings predict recovery of urinary continence after robot-assisted laparoscopic radical prostatectomy / Low Urin Tract Symptoms 11:143~150
Jeong SJ / 2011 / Early recovery of urinary continence after radical prostatectomy : correlation with vesico-urethral anastomosis location in the pelvic cavity measured by postoperative cystography / Int J Urol 18:444~451
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