Quantitative assessment of fascia preservation improves the prediction of membranous urethral length and inner levator distance on continence outcome after robot‐assisted radical prostatectomy

Grivas, Nikolaos; Roest, Rosanne van der; Schouten, Daan; Cavicchioli, Francesca; Tillier, Corinne; Bex, Axel; Schoots, Ivo G.; Artibani, Walter; Heijmink, Stijn; Poel, Henk van der

doi:10.1002/nau.23318

Cited by 27 publications

(30 citation statements)

References 26 publications

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“…ICIQ‐SF is the validated questionnaire for evaluating UI with the total score being used to evaluate UI after RP . The fourth question on the ICIQ‐SF enables the evaluation of the pattern of UI.…”

Section: Discussionmentioning

confidence: 99%

“…ICIQ-SF is the validated questionnaire for evaluating UI 13 with the total score being used to evaluate UI after RP. 5,10,11 The fourth question on the ICIQ-SF enables the evaluation of the pattern of UI. The preoperative evaluation of UI revealed 9% of patients with UUI from positive responses to No.…”

Section: Discussionmentioning

confidence: 99%

“…In this report, we evaluated UI chronologically using ICIQ‐SF, daily pad use, and 24‐h pad weight test before and after robot‐assisted RP (RARP), and the correlation was also calculated. Although ICIQ‐SF has been used to evaluate UI after RP in several reports, few have evaluated the UI pattern after RP. However, in this report, ICIQ‐SF was used to evaluate the chronological changes in the UI pattern.…”

Section: Introductionmentioning

confidence: 99%

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Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire‐short form

Machioka

Kadono

Naito

et al. 2018

Neurourology and Urodynamics

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Aims To evaluate urinary incontinence using the International Consultation on Incontinence Questionnaire‐Short Form (ICIQ‐SF), daily pad use, and 24‐h pad weight test before and after radical prostatectomy (RP) chronologically, and the correlation between them. Methods ICIQ‐SF and questions on daily pad use provided subjective, and 24‐h pad weight test for objective evaluation. Results In total, 258 cases were recruited. The continence rate at 12 months after RP was 67% for no pad use, 87% for security 1 pad/day, and 94% for 1 pad/day. The median ICIQ‐SF total score before and at 1, 3, 6, and 12 months after RP was 0, 10, 7, 5, and 4, respectively. Incontinence patterns differed when comparing ICIQ‐SF results pre‐ and post‐RP. Significant correlation existed between the ICIQ‐SF total score, 24‐h pad weight test, and daily pad use; however, point distribution on each scatter plot varied widely. Comparing results before and at 12 months after RP revealed complete recovery for 35% of patients from the ICIQ‐SF total score, 67% from daily pad use, and 64% from the 24‐h pad weight test. A combination of all 3 showed a recovery of preoperative levels in 29% of patients. Conclusions ICIQ‐SF was effective and convenient for evaluating UI, including the pattern of UI, after RP. Significant correlation, but wide variations, among ICIQ‐SF, daily pad use, and the 24‐h pad weight test existed. The best evaluation method would be the one that can compare UI status pre‐ and post‐RP using the ICIQ‐SF and 24‐h pad weight test.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire‐short form

Machioka

Kadono

Naito

et al. 2018

Neurourology and Urodynamics

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“…Several assessment methods have been developed to define and to measure the severity of UI, including pad weight testing protocols [1,[4][5][6], patient self-report questionnaires [1,5,7], and documenting the number of pads used in 24 hours (pad usage) [1,5,8,9]: pad weight testing protocols offer an objective and quantitative measure of UI, and are considered the gold standard by some [6]. Questionnaires are a patient-reported tool that have ideally been validated and may show an impact on quality of life (QoL).…”

Section: Introductionmentioning

confidence: 99%

Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy

et al. 2020

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Purpose: Continence assessment is an essential component of follow-up after radical prostatectomy (RP). Several methods exist to assess the severity of urinary incontinence (UI). Our study examined the relationship and degree of agreement between International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) scores and the number of pads used in a 24-hour period in the assessment of UI following RP.Methods: Continence was prospectively assessed in 746 men from a Spanish urology clinic 12 months after RP using the ICIQ-SF and pad usage. The relationship between ICIQ-SF scores and pad usage was assessed using Spearman rank correlation coefficients. The Jonckheere-Terpstra trend test was used to determine whether the ICIQ-SF score and the component question scores increased with increasing pad usage. The Bonferroni-corrected pairwise Wilcoxon rank-sum test was used to determine which pairs of pad usage levels differed. The weighted kappa was used to evaluate the agreement between pad usage levels and ICIQ-SF questions.Results: The continence rate was 82% using the “no pad usage” definition of continence versus 78% using the definition of an ICIQ-SF score of 0 (P<0.001). Strong positive correlations were observed between the number of pads and the ICIQ-SF total and component question scores (r<sub>s</sub>>0.85, P<0.001). The ICIQ-SF total and component question scores increased significantly with increasing pad usage (P<0.001). The ICIQ-SF scores (P<0.018) for all pairs of pad usage levels (0, 1, 2, or 3 or more) differed significantly. The agreement between the ICIQ-SF leakage amount question and pad usage was very good (r<sub>s</sub>=0.861, P<0.001).Conclusions: At 12 months post-RP, 24-hour pad usage was closely correlated with ICIQ-SF, although the continence rate differed depending on the definition used. Higher levels of pad usage were associated with higher questionnaire scores, more leakage, and poor quality of life (interference with everyday life).

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“… used pre‐ and postoperative pelvic MRI to assess the repositioning of the urethra 10 days and 12 months after prostatectomy, hypothesizing that these alterations could correlate with urinary incontinence and urethral function. Recent MRI measurements of anatomical structures of the pelvic floor, such as membranous urethral length and inner levator distance, were found to be independent predictors of early continence recovery at 12 months after prostatectomy . A meta‐analysis has also shown a strong correlation between membranous urethral length and continence recovery at 3‐, 6‐ and 12‐month follow‐up .…”

mentioning

confidence: 99%

Towards an individualized approach for predicting post‐prostatectomy urinary incontinence: the role of nerve preservation and urethral stump length

Poel

Grivas

2018

BJU International

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Quantitative assessment of fascia preservation improves the prediction of membranous urethral length and inner levator distance on continence outcome after robot‐assisted radical prostatectomy

Abstract: Preoperative longer MUL and shorter ILD, but also intraoperative FP independently improve continence recovery after RARP. The risk calculator could be used to identify patients at high risk of UI.

Cited by 27 publications

References 26 publications

Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire‐short form

Evaluating urinary incontinence before and after radical prostatectomy using the international consultation on incontinence questionnaire‐short form

Daily Pad Usage Versus the International Consultation on Incontinence Questionnaire Short Form for Continence Assessment Following Radical Prostatectomy

Towards an individualized approach for predicting post‐prostatectomy urinary incontinence: the role of nerve preservation and urethral stump length

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