机器人辅助根治性前列腺切除术后早期控尿的预测因素
Predictors of Early Continence after Robot-assisted Radical Prostatectomy.
作者信息
Yamada Yuta, Fujimura Tetsuya, Fukuhara Hiroshi, Sugihara Toru, Nakagawa Tohru, Kume Haruki, Igawa Yasuhiko, Homma Yukio
机构信息
Department of Urology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Department of Continence Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
出版信息
Low Urin Tract Symptoms. 2018 Sep;10(3):287-291. doi: 10.1111/luts.12181. Epub 2017 Jul 11.
OBJECTIVE
Our objective was to investigate predictors of early continence outcome after robot-assisted radical prostatectomy (RARP).
METHODS
Clinical records were prospectively collected in 272 patients who underwent RARP. Clinical parameters, continence rates, and time to achieve continence were investigated and analyzed. Recovery of continence was defined as achieving complete continence (pad-free).
RESULTS
In the univariate analysis, young age (≤67 years) and low pT stage (≤pT2) were significantly associated with continence achieved within 2 weeks after RARP (P = 0.0343 and P = 0.0406, respectively). Low prostate weight was the only factor associated with recovery of continence within 1 month (P = 0.0461). Multivariate analysis revealed that young age (≤67 years) and low pT stage (≤pT2) were statistically significant predictors of continence within 2 weeks after RARP (P = 0.040 and P = 0.015, respectively).
CONCLUSION
Young age and low pT stage were independent predictors of early continence.
目的
我们的目的是研究机器人辅助根治性前列腺切除术（RARP）后早期控尿结果的预测因素。
方法
前瞻性收集272例行RARP患者的临床记录。对临床参数、控尿率及实现控尿的时间进行调查分析。控尿恢复定义为达到完全控尿（无需使用尿垫）。
结果
单因素分析中，年轻（≤67岁）和低pT分期（≤pT2）与RARP术后2周内实现控尿显著相关（分别为P = 0.0343和P = 0.0406）。低前列腺重量是与1个月内控尿恢复相关的唯一因素（P = 0.0461）。多因素分析显示，年轻（≤67岁）和低pT分期（≤pT2）是RARP术后2周内控尿的统计学显著预测因素（分别为P = 0.040和P = 0.015）。
结论
年轻和低pT分期是早期控尿的独立预测因素。
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