MP64-16 ELUCIDATION OF URINARY INCONTINENCE MECHANISM AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY BY ANATOMICAL AND FUNCTIONAL ANALYSIS OF THE URETHRAL SUPPORT MECHANISM

You have accessJournal of UrologyProstate Cancer: Localized: Surgical Therapy VI (MP64)1 Sep 2021MP64-16 ELUCIDATION OF URINARY INCONTINENCE MECHANISM AFTER ROBOT-ASSISTED RADICAL PROSTATECTOMY BY ANATOMICAL AND FUNCTIONAL ANALYSIS THE URETHRAL SUPPORT Masao Kataoka, Akihisa Hasegawa, Yuki Harigane, Syunta Makabe, Kei Yaginuma, Akifumi Onagi, Ruriko Honda, Kanako Matsuoka, Tomoyuki Koguchi, Junya Hata, Yuichi Sato, Hidenori Akaihata, Souichiro Ogawa, and Yoshiyuki Kojima KataokaMasao Kataoka More articles by this author , HasegawaAkihisa Hasegawa HariganeYuki Harigane MakabeSyunta Makabe YaginumaKei Yaginuma OnagiAkifumi Onagi HondaRuriko Honda MatsuokaKanako Matsuoka KoguchiTomoyuki Koguchi HataJunya Hata SatoYuichi Sato AkaihataHidenori Akaihata OgawaSouichiro Ogawa KojimaYoshiyuki View All Author Informationhttps://doi.org/10.1097/JU.0000000000002104.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: The aim study was clarify the mechanism urinary incontinence after robot-assisted radical prostatectomy (RARP) focusing on changes in pelvic floor muscles. METHODS: A total 323 patients underwent RARP our hospital from 2014 2019 were included retrospectively analyzed. analyzed membranous urethral length (MUL), puborectalis muscle (PRM) rectourethral (RUM) preoperative postoperative MRI, a one-hour pad test 1, 3, 6, 9, 12 months surgery. maximum closure pressure (MUCP) also measured before surgery measuring (UPP). correlation between postprostatectomy (PPI) various factors regression analysis. RESULTS: PRM cross-sectional area significantly decreased (-19%, p<0.001). rates at 9 40.2%, 63.5%, 73.1%, 74.6% 76.8%, respectively. significant PPI (1,3,6,9,12M) MUL (OR:0.10,0.04,0.07,0.04,0.05, p-value: <0.001, respectively), or change (OR: 2.27, 3.19, 4.60, 2.39, 4.25, <0.01, respectively) observed. observed post-operative cross sectional MUCP (R=0.510, CONCLUSIONS: levator ani is thought be directly indirectly connected RUM. It speculated that RUM work like sling affect continence. Postoperative reduction caused decrease function support as sling, which affected PPI. considered important perform with an awareness reducing damage PRM. Furthermore, can improved novel techniques make new using muscle. Source Funding: None © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1116-e1116 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...