The preoperative pad test as a predictor of urinary incontinence and quality of life after robot-assisted radical prostatectomy: a prospective, observational, clinical study

Kurimura, Yoshimasa; Haga, Nobuhiro; Yanagida, Takeshi; Tanji, Ryo; Onagi, Akifumi; Honda, Ryumon; Matsuoka, Kanako; Hoshi, Seiji; Hata, Junya; Onoda, Mitsutaka; Sato, Yuichi; Akaihata, Hidenori; Kataoka, Masao; Ogawa, Soichiro; Ishibashi, Keiichiro; Matsubara, Akio; Kojima, Yoshiyuki

doi:10.1007/s11255-019-02301-3

Cited by 8 publications

(7 citation statements)

References 35 publications

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“…Our results showed a significant increase of MFR and decrease of VV and PVR. This is in line with past reports on post-prostatectomy UFM results [ 22 – 25 ]. The changes in MFR and PVR particularly seem to reflect the alleviation of BOO induced by prostate resection.…”

Section: Discussionsupporting

confidence: 93%

“…Secondly, UFM has traditionally been considered to be reliable when the VV is above 150mL. In two Japanese studies of post-RARP UFM conducted by a single group, median VV was approximately 250mL preoperatively and 150~170mL postoperatively, similar to our own result [ 22 , 35 ]. Based on these reports we decided not to exclude patients with VV under 150mL, but decided to use perioperative change in UFM parameters, thereby ameliorating this possible bias caused by ethnicity.…”

Section: Discussionsupporting

confidence: 82%

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The association between the parameters of uroflowmetry and lower urinary tract symptoms in prostate cancer patients after robot-assisted radical prostatectomy

et al. 2022

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Objective To investigate changes in uroflowmetry parameters in men undergoing robot-assisted radical prostatectomy (RARP) for prostate cancer. Materials and methods Four hundred and twenty-eight patients received uroflowmetry testing before and after RARP from November 2011 to December 2018. Clinicopathological data, including age, initial prostate-specific antigen (PSA), prostate volume, clinical stage, body mass index (BMI), uroflowmetry parameters, and core lower urinary tract symptom scores (CLSS) were retrospectively obtained from clinical records. Changes in uroflowmetry parameters were analyzed for statistical predictors and effects on post-operative outcomes. Results A significant increase in maximum flow rate (MFR) and decreases in voided volume (VV) and post-void residual urine (PVR) were seen. In multivariate analysis, age was a negative predictor of MFR increase, while prostate volume was a positive predictor of PVR decrease and MFR increase. VV decrease led to worse incontinence symptoms, while PVR decrease and MFR increase led to improvement in voiding symptoms such as slow stream and straining. Continence recovery curves showed that VV decrease were associated with a delay in continence recovery. Conclusions Significant changes were seen in uroflowmetry results after RARP, each parameter directly related to urinary symptoms. In particular, VV decrease was associated with a worsening of incontinence symptoms and continence recovery.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 82%

The association between the parameters of uroflowmetry and lower urinary tract symptoms in prostate cancer patients after robot-assisted radical prostatectomy

et al. 2022

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“…Postoperative QOL is known to be affected by pretreatment QOL. 36 , 37 Therefore, QOL needs to be assessed before neoadjuvant HT. In our study, patients in the neoadjuvant HT group had already been given hormonal drugs as part of radiohormonal therapy or based on the judgment of previous urologists.…”

Section: Discussionmentioning

confidence: 99%

Impacts of Neoadjuvant Hormonal Therapy Prior to Robot-Assisted Radical Prostatectomy on Postoperative Hormonal- and Sexual-Related Quality of Life – Assessment by Patient-Reported Questionnaire

Ogawa

Hasegawa

Makabe

et al. 2022

RRU

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Purpose Neoadjuvant hormonal therapy (HT) before radical prostatectomy (RP) is not recommended by current guidelines in terms of oncological outcomes. Despite this, neoadjuvant HT is sometimes conducted before RP for a small proportion of patients in clinical practice. This study evaluated the impacts of neoadjuvant HT on hormonal- and sexual-related quality of life (QOL) among patients who underwent robot-assisted RP (RARP). Materials and Methods Participants comprised 470 patients divided into a non-neoadjuvant HT group (n = 408) and a neoadjuvant HT group (n = 62). Hormonal- and sexual-related QOL were measured using the Expanded Prostate Cancer Index Composite (EPIC) questionnaire. Results Hormonal summary scores at 6 and 9 months, function scores before and 3, 6, and 9 months and bother score at 6 months after RARP were significantly lower in the neoadjuvant HT group than in the non-neoadjuvant HT group. Sexual function scores were decreased in the neoadjuvant HT group compared to the non-neoadjuvant HT group before and 6 months after RARP. In the neoadjuvant HT group, sexual function at 3 months after RARP was significantly worse in patients with >5 months of neoadjuvant HT than in patients with ≤5 months of neoadjuvant HT. Conversely, sexual bother at 3 months after RARP was significantly worse in patients with ≤5 months of neoadjuvant HT than in patients with >5 months of neoadjuvant HT. Conclusion Vintage neoadjuvant HT prior to RARP should not be recommended due to not only oncological outcomes, but also the impacts on postoperative hormonal- and sexual-related QOL.

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“…The primary outcome of this study was surgical success defined as being cured of SUI (no symptoms), experiencing improved symptoms of SUI on the ICIQ-SF and negative stress test, and less than 2 g urine leakage in one-hour pad test. 6 Laparoscopic Burch colposuspension was performed by a single urologist with 15 years of experience in the profession.…”

Section: Methodsmentioning

confidence: 99%

Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch

Karadağ

Demir

Sönmez

et al. 2022

JSLS

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Background and Objectives: The multiple endoclip retraction technique (MERT) was developed based on our experience with suturing renal parenchyma in laparoscopic partial nephrectomy. In this study we prospectively evaluated the one-year results of cases treated by transperitoneal laparoscopic Burch with the MERT. Methods: The patients were evaluated with stress test, one-hour pad test, and were requested to complete the International Continence Society Incontinence Questionnaire short form (ICIQ-SF) in the postoperative period. The follow-up periods were postoperative 3, 6, and 12 months. Results: The primary outcome of this study was surgical success, defined as being cured of stress urinary incontinence (SUI) (no symptoms), experiencing improved symptoms of SUI in ICIQ-SF and negative stress test, and less than 2g urine leakage in a one-hour pad test. No statistically significant difference was found in terms of age, number of children, and body mass index (BMI) in patients according to the results of the 12 month postoperative stress test. We found statistically significant improvements at all control months in terms of stress test and pad weight. ICIQ-SF results showed a significant decrease at three months in patients who recovered after the operation. This rate has not changed in following control months. However, there was no statistical change in ICIQ-SF values in patients who did not recover after the operation. Conclusion: MERT seems to be one of the safe and effective modifications in the management of SUI with good one year outcomes when performed by suitably trained experienced surgeons.

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The preoperative pad test as a predictor of urinary incontinence and quality of life after robot-assisted radical prostatectomy: a prospective, observational, clinical study

Cited by 8 publications

References 35 publications

The association between the parameters of uroflowmetry and lower urinary tract symptoms in prostate cancer patients after robot-assisted radical prostatectomy

The association between the parameters of uroflowmetry and lower urinary tract symptoms in prostate cancer patients after robot-assisted radical prostatectomy

Impacts of Neoadjuvant Hormonal Therapy Prior to Robot-Assisted Radical Prostatectomy on Postoperative Hormonal- and Sexual-Related Quality of Life – Assessment by Patient-Reported Questionnaire

Multiple Endoclip Retraction Technique (MERT) in Laparoscopic Burch

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