Abstract:
PURPOSE:To retrospectively determine whether recovery of urinary continence after radical prostatectomy is associated with the preoperative length of membranous urethra (MU), the amount of rhabdosphincter and the length of MU removed with the prostate. MATERIALS AND METHODS:The study cohort comprised 179 consecutive patients who underwent laparoscopic radical prostatectomy (LRP: n = 98) and robot-assisted radical prostatectomy (RARP: n = 81) at Wakayama Medical University between July 2010 and May 2014. The length of MU was measured by preoperative MRI. The amount of resected rhabdosphincter and the length of resected MU were assessed in hematoxylin and eosin sections at the apical margin of prostate specimens. Patient-reported urinary continence status was determined at 3, 6, 12 and 24 months postoperatively, with urinary continence considered as 0-1 pads/day. Kaplan-Meier analysis and the log-rank test were used to compare time to urinary continence recovery. Multivariate Cox regression analyses were performed to determine the predictors of urinary continence. RESULTS:RARP vs LRP (p = 0.02) and shorter length of resected MU (p = 0.01) showed significantly better postoperative continence recovery by log-rank test. Nerve-sparing, preoperative length of MU, and amount of resected rhabdosphincter did not significantly correlate with continence recovery. Only the length of resected MU was the independent factor for predicting postoperative urinary continence by multivariate Cox regression analysis (hazard ratio 0.84, p = 0.01). CONCLUSION:These results demonstrated that the length of resected MU measured by specimen was an independent predictor of urinary incontinence after radical prostatectomy. Care should be taken to preserve maximal length of MU for optimal continence outcomes.
journal_name
Urol Jjournal_title
Urology journalauthors
Kohjimoto Y,Yamashita S,Kikkawa K,Iba A,Matsumura N,Hara Idoi
10.22037/uj.v0i0.4753subject
Has Abstractpub_date
2020-03-16 00:00:00pages
146-151issue
2eissn
1735-1308issn
1735-546Xpii
4753journal_volume
17pub_type
杂志文章相关文献
Urology Journal文献大全abstract:INTRODUCTION:Varicocele is one of the most common causes of infertility. In this study, we evaluated and compared the operative time, sperm analysis results, and complications of three different methods of open and laparoscopic varicocelectomies. MATERIALS AND METHODS:From among all bilateral varicocelectomies in our ...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2009-07-01 00:00:00
abstract::Though previous major abdominal surgery and pelvic irradiation may be a significant drawback of subsequent laparoscopic procedure, technological advances such as better visualization and more controlled finer movementsof robotic arms allowing better dissection in robotic-assisted laparoscopic surgery may reduce some o...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.3912
更新日期:2018-05-03 00:00:00
abstract:PURPOSE:We aimed to identify the prevalence and risk factors of three outcomes after stone removal following treatment for obstructive acute pyelonephritis (APN) associated with urinary tract calculi: immediate postoperative febrile urinary tract infection (UTI), stone recurrence, and APN recurrence during the follow-u...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.4847
更新日期:2020-03-16 00:00:00
abstract:PURPOSE:To assess the cost-effectiveness of medical expulsive therapy (MET) versus observation for large distal ureteral stones in China and provide preliminary evidence for the determination of the course of MET by mathematical estimation. MATERIALS AND METHODS:With linear success rate assumptions, a decision tree wa...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.5433
更新日期:2020-03-14 00:00:00
abstract:PURPOSE:To evaluate the efficacy and reliability of fluoroscopy-free retrograde intrarenal surgery. MATERIALS AND METHODS:A retrospective evaluation was made of the data of 226 patients who underwent RIRS as kidney stone treatment between May 2015 and May 2017. When evaluation was made acccording to the exclusion crit...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.4382
更新日期:2019-10-21 00:00:00
abstract:PURPOSE:To determine the frequency of human leukocyte antigen (HLA)-B5 in patients with bladder cancer compared with normal population. MATERIALS AND METHODS:In this cross sectional study, from November 2009 until November 2010, 35 patients with pathologic diagnosis of bladder cancer who referred to urology clinic of ...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2014-01-04 00:00:00
abstract:PURPOSE:To examine whether surgical decompression of hematomas by capsulotomy can help to improve long-term renal function following extracorporeal shock wave lithotripsy (SWL). MATERIALS AND METHODS:This study retrospectively identified 7 patients who underwent capsulotomy for post SWL renal hematomas between 2008 an...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2014-07-08 00:00:00
abstract:PURPOSE:To evaluate the expression of microRNAs in tissue samples from patients with bladder cancer and to compare it with healthy adjacent tissue samples as controls. MATERIALS AND METHODS:Thirty five tissue samples from patients with newly diagnosed untreated bladder transitional cell carcinoma and 35 adjacent norma...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2015-02-22 00:00:00
abstract:PURPOSE:To the assess sensitivity and specificity of urinary levels of hyaluronic acid (HA) and hyaluronidase (HAase) as an individual or a combined test to diagnose bladder transitional cell carcinoma (TCC). MATERIALS AND METHODS:One hundred and ninety-four urine specimens were collected from individuals between July...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2014-03-03 00:00:00
abstract:PURPOSE:To determine the proportion of benign and malignant testicular lesions among patients with nonpalpable incidental testicular masses. METHODS AND MATERIALS:Ten patients with nonpalpable incidental testicular masses underwent surgical exploration. Surgery was performed via an inguinal approach with temporary cor...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2014-11-01 00:00:00
abstract:PURPOSE:To determine the efficacy and safety of PCNL in patients with positive urine culture without an any other risk factors prior to surgery, and to define an optimal pre-operative antibiotic regimen for these patients. MATERIALS AND METHODS:The study included 269 consecutive PCNL cases. These cases were divided in...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.5561
更新日期:2020-04-19 00:00:00
abstract:PURPOSE:We compared the efficacy and safety of a combined thulium laser incision and bipolar resection of prostate technique (web procedure) with traditional bipolar TURP. MATERIALS AND METHODS:We reviewed the medical records of 96 web procedure, 93 traditional bipolar TURP patients between 2013 and 2016. The web proc...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.4363
更新日期:2019-08-18 00:00:00
abstract:INTRODUCTION:Cardiovascular disease is still a major cause of mortality in kidney transplant patients. This is partially attributed to the nonclassic cardiovascular risk factors including arterial stiffness, an established independent predictor of mortality in several patient populations. MATERIALS AND METHODS:An exte...
journal_title:Urology journal
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract:INTRODUCTION:In this retrospective study, we reviewed the outpatient data of patients with premature ejaculation to investigate the association of that disorder with irritable bowel syndrome and a positive history of enuresis. MATERIALS AND METHODS:All patients with premature ejaculation who had presented to the autho...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract:PURPOSE:Hypertension (HT) is known to be of the main risk factors for erectile dysfunction (ED). But non-dipping (<%10 drop in the night) of HT is not investigated truly. The aim of this study was to test the hypothesis that the non-dipper hypertensive patients are more prone to develop erectile dysfunction. MATERIALS...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.4135
更新日期:2019-05-05 00:00:00
abstract:INTRODUCTION:The aim of this study was to investigate the effects of thymoquinone, a major component of Nigella Sativa seeds on ethylene glycol-induced kidney calculi in rats. MATERIALS AND METHODS:Sixty male Wistar rats were randomly divided into 6 groups (intact control, ethylene glycol control, and 4 experimental g...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2008-07-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to evaluate diuresis renography with an intravenous injection of furosemide 20 minutes after administering the radiopharmaceutical (F+20 protocol) or 15 minutes before (F-15 protocol) in patients with upper urinary tract dilatation. MATERIALS AND METHODS:Twenty-one patients with ...
journal_title:Urology journal
pub_type: 临床试验,杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract::Gossipyboma is a mass which is made around a cotton sponge or abdominal compress retained in a patient during surgery accidentally. Patients manifest with either acute or chronic symptoms due to complications. Here in wereported an 89-year-old man case of transvesical migration of gossipyboma who presented with gross ...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2017-08-29 00:00:00
abstract:PURPOSE:Pelvic organ prolapse is a common condition as a consequence of the pelvic floor support weakness. This study evaluated the clinical results of treating the high stage prolapse of the anterior vaginal wall using a trans-obturator approach and the native vaginal wall tissue. METHODS:This was a prospective anal...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.5619
更新日期:2020-06-18 00:00:00
abstract::Nowadays there is not any specific technique for repairing the recurrent urethral stricture with retained urethral stent. We report a 49 year-old man with history of end to end urethroplasty 11 years ago who was referred with urethral stricture. He refused to undergo urethroplasty again, so the stricture was managed b...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.4914
更新日期:2020-06-23 00:00:00
abstract:PURPOSE:In our study, we assessed the efficiency and reliability of retrograde intrarenal surgery secondary to open surgery for kidney stone treatment. Moreover, we compared the efficiency and safety of retrograde intrarenal surgery for the patients with previous history of open surgery, percutaneous nephrolithotomy, s...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v0i0.4950
更新日期:2020-05-16 00:00:00
abstract:PURPOSE:To compare the kidney tumor size on radical nephrectomy pathology specimen with size estimated by computed tomography (CT) scan and ultrasonography. MATERIALS AND METHODS:The tumor size on pathology specimen of 40 patients who had undergone radical nephrectomy at our center from March 2003 until March 2009 was...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2012-10-01 00:00:00
abstract:INTRODUCTION:The present study aimed to assess the efficacy and safety of percutaneous nephrolithotomy (PCNL) in elderly patients. MATERIALS AND METHODS:We retrospectively reviewed 50 PCNLs performed in the elderly patients (age > 65 years) carried out in our clinic from 2001 through 2007 and compared those with 248 P...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:INTRODUCTION:On 11 March 2020, the World Health Organization (WHO) declared a pandemic. Since then hospitals have reduced inpatient and outpatient workflow and cancelled or suspended all non-emergent and routine surgical procedures. Our objective is to determine whether, during the COVID-19 period, there has been any m...
journal_title:Urology journal
pub_type: 杂志文章
doi:10.22037/uj.v16i7.6330
更新日期:2020-07-22 00:00:00
abstract:PURPOSE:To compare the clinical efficacy between locally applied diclofenac diethylamine gel, EMLA cream and systemically given diclofenac sodium for the pain relief during extracorporeal shock wave lithotripsy (SWL) using Dornier Delta Compact Lithotripter. MATERIAL AND METHODS:One hundred five patients with renal st...
journal_title:Urology journal
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-09-26 00:00:00
abstract:PURPOSE:To evaluate efficacy of modified retroperitoneal lymph node dissection (RPLND) in the management of patients with pathological stage (PS) I non-seminomatous germ cell testicular tumor (NSGCT) in a retrospective study. MATERIALS AND METHODS:Between April 2002 and April 2012, 55 patients with clinical stage (CS)...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2013-04-01 00:00:00
abstract:INTRODUCTION:The shortage of cadaveric donors for kidney transplantation has led to the expansion of the criteria used for donor selection, such as the use of pediatric cadaveric donors. In this study we reviewed our results of en bloc kidney transplantation of pediatric cadaveric donors to adults. MATERIALS AND METHO...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract:PURPOSE:To investigate the clinicopathology and magnetic resonance imaging (MRI) features of bladder paraganglioma, an extremely rare clinical entity. MATERIALS AND METHODS:Five patients with bladder paraganglioma (3 males and 2 females, 27-52 years old) were retrospectively reviewed. All cases underwent baseline MRI ...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2016-04-16 00:00:00
abstract:PURPOSE:To present the long-term results of failed vesicovaginal fistula repair using flap splitting techniques. MATERIALS AND METHODS:Nine women with a previous failed vesicovaginal fistula repair, aged 18 to 69 years, underwent salvage vaginal reconstruction for damaged urethra or bladder, at a five-year interval la...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract:INTRODUCTION:We reviewed the most recent advances in the genetics of male infertility focusing on karyotypic abnormalities, obstructive azoospermia, and idiopathic hypogonadotropic hypogonadism. MATERIALS AND METHODS:To update our previous review, we searched the literature using PubMed and skimmed articles published ...
journal_title:Urology journal
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00