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현재 페이지 위치 : 로봇수술 > 자료실 > 학술자료

학술자료

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제목 [비뇨기과] Independent predictors of continence 3 months after robot-assisted radical prostatectomy.
작성자 관리자 등록일 2012-09-26

내용

J Endourol. 2012 May 31. [Epub ahead of print]

Independent predictors of continence 3 months after robot-assisted radical prostatectomy.

Kim JJ, Ha YS, Kim JH, Jeon SS, Lee DH, Kim WJ, Kim IY.
Samsung Medical Center, Urology, Seoul, Korea, Republic of; metalik@hanmail.net.

Abstract

PURPOSE

To investigate the factors that predict recovery of continence within 3 months following robot-assisted radical prostatectomy (RARP).

PATIENTS & METHODS

The charts of 452 patients who underwent RARP with a minimum follow-up period of 3 months were collected prospectively and reviewed retrospectively. Urinary continence was determined using the self-administered validated Expanded Prostate Cancer Index Composite questionnaire during the routine followup visits.

RESULTS

The overall continence rate 3 months after RARP was 79.9%. In univariate logistic regression test, age < 70, higher pre-operative sexual health inventory for men (SHIM) score, lower clinical T1 stage, lower biopsy and pathologic Gleason score, shorter operative time, lower estimated blood loss, smaller prostate volume (<40 cc) were associated with recovery of urinary continence within 3 months following RARP (p<0.05). In multivariate logistic regression analysis, younger age, higher SHIM score, lower clinical T1 stage, lower BMI, and smaller prostate volume were independent factors that predicted return of continence within in 3 months after RARP (p<0.05).

CONCLUSIONS

Younger age (<70), higher pre-operative SHIM score, clinical T1 stage, lower BMI, and smaller prostate volume (<40 cc) independently predicted recovery of continence within 3 months following RARP.

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