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Methods Sixty-three consecutive patients underwent pressure-flow studies, urethral pressure profiles, and abdominal leak point pressure (ALPP) tests 1-2 days before, immediately after, and 1 year after RARP. Results The mean bladder compliance was 28.3 mL/cm H\u003cinf\u003e2\u003c/inf\u003eO before RARP; it worsened to 16.3 mL/cm H\u003cinf\u003e2\u003c/inf\u003eO immediately after RARP and recovered to 27.1 mL/cm H\u003cinf\u003e2\u003c/inf\u003eO at 1 year. The mean detrusor pressure at maximum flow rate was 61.9 cm H\u003cinf\u003e2\u003c/inf\u003eO before RARP; it decreased to 34.3 cm H\u003cinf\u003e2\u003c/inf\u003eO immediately after RARP and remained at 35.6 cm H\u003cinf\u003e2\u003c/inf\u003eO at 1 year. The mean maximum urethral closure pressure was 84.2 cm H\u003cinf\u003e2\u003c/inf\u003eO before RARP; it decreased to 33.4 cm H\u003cinf\u003e2\u003c/inf\u003eO immediately after RARP and recovered to 63.0 cm H\u003cinf\u003e2\u003c/inf\u003eO at 1 year. Intrinsic sphincter deficiency (ISD) evaluated by the ALPP test was observed in 53 patients immediately after RARP, although no patient showed ISD before RARP. ISD remained in 7 patients at 1 year. Both ALPP and maximum urethral closure pressure at 1 year were significant factors for continence in multivariate analysis. Conclusion Urethral sphincter and bladder function worsen immediately after RARP and recover over time. The bladder storage function after RARP returns to almost the same level before RARP, and the voiding function improves compared with the condition before RARP; however, the urethral sphincter function does not return to its preoperative level. 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Chronological urodynamic evaluation of changing bladder and urethral functions after robot-assisted radical prostatectomy
http://hdl.handle.net/2297/43030
http://hdl.handle.net/2297/4303038505720-3315-449b-a0bc-6f0d67f1229d
名前 / ファイル | ライセンス | アクション |
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HO-PR-KADONO-Y-1441.pdf (346.4 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-05 | |||||
タイトル | ||||||
タイトル | Chronological urodynamic evaluation of changing bladder and urethral functions after robot-assisted radical prostatectomy | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Kadono, Yoshifumi
× Kadono, Yoshifumi× Ueno, Satoru× Iwamoto, Daiki× Takezawa, Yuta× Nohara, Takahiro× Izumi, Kouji× Mizokami, Atsushi× Namiki, Mikio |
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書誌情報 |
Urology 巻 85, 号 6, p. 1441-1447, 発行日 2015-06-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0090-4295 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA0087924X | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.urology.2015.02.029 | |||||
出版者 | ||||||
出版者 | Elsevier | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective To examine chronological changes in urethral and bladder functions before, immediately after, and 1 year after robot-assisted radical prostatectomy (RARP), urodynamic studies were prospectively performed. Methods Sixty-three consecutive patients underwent pressure-flow studies, urethral pressure profiles, and abdominal leak point pressure (ALPP) tests 1-2 days before, immediately after, and 1 year after RARP. Results The mean bladder compliance was 28.3 mL/cm H<inf>2</inf>O before RARP; it worsened to 16.3 mL/cm H<inf>2</inf>O immediately after RARP and recovered to 27.1 mL/cm H<inf>2</inf>O at 1 year. The mean detrusor pressure at maximum flow rate was 61.9 cm H<inf>2</inf>O before RARP; it decreased to 34.3 cm H<inf>2</inf>O immediately after RARP and remained at 35.6 cm H<inf>2</inf>O at 1 year. The mean maximum urethral closure pressure was 84.2 cm H<inf>2</inf>O before RARP; it decreased to 33.4 cm H<inf>2</inf>O immediately after RARP and recovered to 63.0 cm H<inf>2</inf>O at 1 year. Intrinsic sphincter deficiency (ISD) evaluated by the ALPP test was observed in 53 patients immediately after RARP, although no patient showed ISD before RARP. ISD remained in 7 patients at 1 year. Both ALPP and maximum urethral closure pressure at 1 year were significant factors for continence in multivariate analysis. Conclusion Urethral sphincter and bladder function worsen immediately after RARP and recover over time. The bladder storage function after RARP returns to almost the same level before RARP, and the voiding function improves compared with the condition before RARP; however, the urethral sphincter function does not return to its preoperative level. Urethral sphincter dysfunction is considered the main factor for urinary incontinence after RARP. © 2015 Elsevier Inc. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Embargo Period 12 months | |||||
権利 | ||||||
権利情報 | Copyright © 2015 Elsevier (CC-BY NC ND) | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.elsevier.com/locate/issn/00904295 |