PD01-03 VIDEOURODYNAMIC CHANGES AND THE PREDICTORS OF EARLY RECOVERY ON URINARY CONTINENCE AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Incontinence: Evaluation (Urodynamic Testing)1 Apr 2016PD01-03 VIDEOURODYNAMIC CHANGES AND THE PREDICTORS OF EARLY RECOVERY ON URINARY CONTINENCE AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY Hsu-Che Huang, Yuan-Hong Jiang, and Hann-Chorng Kuo Hsu-Che HuangHsu-Che Huang More articles by this author , Yuan-Hong JiangYuan-Hong Jiang More articles by this author , and Hann-Chorng KuoHann-Chorng Kuo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2023AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Although laparoscopic radical prostatectomy (LRP) is effective in treatment of localized prostate cancer, patients might suffer from stress urinary incontinence (SUI) after LRP. This study investigated the changes of videourodynamic parameters after LRP and impact on urinary incontinence METHODS A total of 48 male patients underwent LRP received videourodynamic study (VUDS) at baseline, 3 months and 6 months after operation. The changes of urodynamic parameters including detrusor pressure (Pdet), voided volume, cystometric bladder capacity (CBC), maximum flow rate (Qmax), postvoid residual (PVR), maximal urethral closure pressure (MUCP) and functional profile length (FPL) were measured at 3 and 6 months after opeation. The bladder neck (BN) level to the superior margin of the symphysis pubis (SMSP) after LRP was also measured 7 to 10 days after opeartion by retrigrade cystography. The BN level at or above SMSP was defined as 0, and BN level below SMSP more than 2 cm was defined as -2, otherwise, the BN level was -1. The SUI condition was evaluated by questionare during out-patient clinic follow up. RESULTS The overall SUI rate was 66.7%,47.9%, and 16.7% at 3,6,12 months after LRP, respectively. MUCP, FPL and Pdet significantly declined from 62.6cmH2O, 48.7mm and 41.8cmH2O, which was measured at baseline, to 46.4cmH2O,16.8mm and 25.4cmH2O at 6 months, respectively. Among patients with SUI at 3 months and 6 months after operation, the MUCP level at 3 months and bladder neck level were significantly lower than patients without SUI. For patients with prolonged SUI (12 months postoperatively), the MUCP at 3 months showed significant association. (Table.1 and Table. 2) CONCLUSIONS BN level and MUCP can strongly predict the early continence recovery after LRP. The BN level not below the symphysis pubis and higher MUCP level at 3 months after operation are associated with an early recovery of SUI after LRP © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e46 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Hsu-Che Huang More articles by this author Yuan-Hong Jiang More articles by this author Hann-Chorng Kuo More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...