|Table of Contents|

Functional evaluation of bladder wall reconstruction neourethra after radical prostatectomy

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2024 15
Page:
2801-2806
Research Field:
Publishing date:

Info

Title:
Functional evaluation of bladder wall reconstruction neourethra after radical prostatectomy
Author(s):
ZHAO Jie1; 2; GUAN Zhenghui1; 2; WANG Jiangping1
1.Department of Urology,Taizhou People's Hospital Affiliated to Nanjing Medical University,Jiangsu Taizhou 225300,China;2.Graduate School of Dalian Medical University,Liaoning Dalian 116041，China.
Keywords:
bladder wall reconstruction neourethra; radical prostatectomy; urinary incontinence; functional; urethral pressure
PACS:
R737.25
DOI:
10.3969/j.issn.1672-4992.2024.15.017
Abstract:
Objective:To evaluate the continence function of bladder wall reconstruction neourethra(BWN) after radical prostatectomy for prostate cancer using static urethral closure pressure(SUCP) measurements.Methods:Fifty-three patients with localized prostate cancer who underwent robot-assisted laparoscopic radical prostatectomy(RARP) with BWN technique between March 2022 and April 2023 in the hospital were selected.SUCP measurements including maximum urethral closure pressure(MUCP),functional urethral length(FUL),and urethral functional pressure area(UFA) were performed at 1 month and 6 months after removal of the catheter.The characteristics of SUCP were analyzed and evaluated.Results:At 1 month after catheter removal,48 patients achieved continence while 5 patients experienced urinary incontinence,resulting in a continence rate of 90.57%.SUCP measurements were obtained for all patients.In the continence group,a distinct peak-shaped curve was observed in the SUCP measurement,forming a typical double peak with membranous urethral pressure curve.In the incontinence group,the SUCP curve showed a flattened double peak.The FUL of the urinary control group and urinary incontinence group were (27.6±5.1)mm vs (26.0±8.9)mm,respectively,with no significant difference between the two groups(P＞0.05).The MUCP and UFA respectively were (63.0±18.9)cmH2O vs (31.4±8.6)cmH2O,(729.0±244.5)mm×cmH2O vs (314.2±66.3)mm×cmH2O.The urinary control group was significantly higher than the urinary incontinence group(P＜0.05).Conclusion:BWN significantly prolongs FUL,increases UFA,and improves early continence after radical prostatectomy for prostate cancer.

References:

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Memo:
南京医科大学泰州临床医学院临床研究项目(编号：TZKY20220210)
Last Update: 2024-06-28