Relationship Between the Integrity of the Pelvic Floor Muscles and Early Recovery of Continence After Radical Prostatectomy

Song, Cheryn; Doo, Chin Kyung; Hong, Jaewoo; Choo, Myung‐Soo; Kim, Choung‐Soo; Ahn, Hanjong

doi:10.1016/j.juro.2007.03.044

Cited by 87 publications

(98 citation statements)

References 21 publications

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“…Song et al showed that parameters related to muscular thickness of the pelvic floor predicted the recovery of continence at 3 months after the operation, however statistical significance had disappeared partially at 6 months. 17 In this study, the behavior of urethral movement was similar. Rocco et al showed that restoration of the posterior aspect of the rhabdosphincter technique significantly improved the early continence rate from 3 to 90 days after removal of the urethral catheter but significance had disappeared at 12 months.…”

Section: Discussionsupporting

confidence: 63%

Urethral mobility at catheter removal predicts early recovery of urinary continence after radical prostatectomy

et al. 2009

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Objectives: To analyze the clinical parameters correlated with early recovery of urinary continence after radical prostatectomy, focusing especially on urethral mobility during voiding at catheter removal. Methods: At the time of catheter removal, a voiding cystourethrography was performed in 58 men (median age 69 years, range 55-76) who had undergone radical prostatectomy. The vertical length of urethral movement between voiding and standstill was measured.The correlation between continence status and various clinical parameters, including age, prostate volume, International Prostate Symptom Score, quality of life score and the length of urethral movement was analyzed. Results: An inverse correlation was observed between length of urethral movement and urinary incontinence volume rate (defined as [leakage volume/daily total urine volume] ¥ 100%) on day 7 after catheter removal (r = -0.388, P < 0.05). Classifying patients into two groups according to the length of urethral movement of 2 mm gave the best accuracy for the prediction of postoperative recovery of urinary incontinence with receiver operating characteristic analysis. A statistically significant difference was observed between group 1 (length Ն 2 mm) and group 2 (<2 mm) for the leakage rate until day 7 after the catheter was removed (P < 0.01). Urethral movement at the time of catheter removal was significantly correlated with early recovery of continence in the two groups (P < 0.05). Conclusions: Urethral mobility after radical prostatectomy, which can be easily evaluated using voiding cystourethrography, may be a good predictor of early recovery of urinary continence.

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Section: Discussionsupporting

confidence: 63%

Urethral mobility at catheter removal predicts early recovery of urinary continence after radical prostatectomy

et al. 2009

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“…demonstrated that patients with better developed pelvic floor muscles, especially in relation to the size of the prostate, can be expected to achieve earlier recovery of continence after RP 110.…”

Section: Discussionmentioning

confidence: 99%

Integrative review on the non‐invasive management of lower urinary tract symptoms in men following treatments for pelvic malignancies

et al. 2015

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SummaryAimTo develop a non‐invasive management strategy for men with lower urinary tract symptoms (LUTS) after treatment for pelvic cancer, that is suitable for use in a primary healthcare context.MethodsPubMed literature searches of LUTS management in this patient group were carried out, together with obtaining a consensus of management strategies from a panel of authors for the management of LUTS from across the UK.ResultsData from 41 articles were investigated and collated. Clinical experience was sought from authors where there was no clinical evidence. The findings discussed in this paper confirm that LUTS after the cancer treatment can significantly impair men's quality of life. While many men recover from LUTS spontaneously over time, a significant proportion require long‐term management. Despite the prevalence of LUTS, there is a lack of consensus on best management. This article offers a comprehensive treatment algorithm to manage patients with LUTS following pelvic cancer treatment.ConclusionBased on published research literature and clinical experience, recommendations are proposed for the standardisation of management strategies employed for men with LUTS after the pelvic cancer treatment. In addition to implementing the algorithm, understanding the rationale for the type and timing of LUTS management strategies is crucial for clinicians and patients.

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“…Наряду с наружным сфинктером в механизм удержания в качестве вспомогательного элемента вовлечена m. levator ani. Восстановление функции удержания мочи после РПЭ достигается пре-имущественно за счет тренировки m. levator ani, кото-рая, приподнимаясь кверху при сокращении, создает механическое сопротивление непроизвольному подте-канию мочи [34]. Техника суспензии уретры m. levator ani позволяет добиться аналогичного эффекта интра-операционно и обусловливает раннее восстановление самостоятельного удержания мочи.…”

Section: результаты и обсуждениеunclassified

Preservation of the Puboprostatic Collar and Puboperineoplasty for Early Recovery of Urinary Continence after Robotic Prostatectomy: Anatomic Basis and Preliminary Outcomes

et al. 2007

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Relationship Between the Integrity of the Pelvic Floor Muscles and Early Recovery of Continence After Radical Prostatectomy

Cited by 87 publications

References 21 publications

Urethral mobility at catheter removal predicts early recovery of urinary continence after radical prostatectomy

Urethral mobility at catheter removal predicts early recovery of urinary continence after radical prostatectomy

Integrative review on the non‐invasive management of lower urinary tract symptoms in men following treatments for pelvic malignancies

Preservation of the Puboprostatic Collar and Puboperineoplasty for Early Recovery of Urinary Continence after Robotic Prostatectomy: Anatomic Basis and Preliminary Outcomes

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