Urodynamic changes in patients with prostate cancer undergoing robotic-assisted radical prostatectomy: A comparison with laparoscopic radical prostatectomy

Jiang, Yuan‐Hong; Hong, Yulong

doi:10.1016/j.urols.2017.07.004

Cited by 5 publications

(26 citation statements)

References 23 publications

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“…A total of 827 studies were screened, 62 identified as relevant and 27 initially qualified for synthesis [ 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ] ( Figure 1 ). Populations from three [ 26 , 27 , 28 ] of the last-mentioned studies were, however, substantially overlapped (72% to 90%, based on data obtained from the author), which led to further exclusions [ 27 , 28 ].…”

Section: Resultsmentioning

confidence: 99%

“…The total number of patients in included studies was 1387 (age range 13–110). In the case of 47 patients, no adequate data was reported [ 24 , 30 , 31 ]. Finally, the number of patients included in qualitative synthesis was 1340 (age range 13–110) (data presented in Table 2 ), with a mean age range from 61.9 to 72.1 years (SD 2.6).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies reported outcomes after laparoscopic radical prostatectomy (LRP) [ 22 , 32 ] whereas five studies after robot-assisted laparoscopic radical prostatectomy (RALP) [ 23 , 26 , 40 , 42 , 43 ]. Four studies included a mixed population of patients treated either with ORP or LRP [ 24 , 33 , 34 , 36 ]. In one study, either LRP or RALP was performed [ 24 ].…”

Section: Resultsmentioning

confidence: 99%

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De Novo Detrusor Underactivity and Other Urodynamic Findings after Radical Prostatectomy: A Systematic Review

et al. 2022

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Background and objectives: The aim of this systematic review is to evaluate the impact of radical prostatectomy (RP) on bladder function, with special attention towards detrusor underactivity investigated with the means of urodynamic evaluation. Materials and Methods: The review was performed in accordance with the PRISMA statement and was registered in the PROSPERO (ID#: CRD42020223480). The studied population was limited to men with prostate cancer who underwent urodynamic study prior to and after radical prostatectomy. Eight hundred twenty-seven studies were screened, with twenty-five finally included. A qualitative analysis was performed. Rates of detrusor underactivity (DU) before surgery were reported in eight studies and ranged from 1.6% to 75% (median of 40.8%). DU occurred de novo after RP in 9.1% to 37% of patients (median of 29.1%). On the other hand, preexisting DU resolved in 7% to 35.5% of affected men. Detrusor overactivity (DO) was the most frequently reported outcome, being assessed in 23 studies. The rate of DO preoperatively was from 5% to 76% (median of 25%). De novo was reported in 2.3–54.4% of patients (median of 15%) and resolved after RP in 19.6% to 87.5% (median of 33%) of affected patients. Baseline rates of bladder outlet obstruction (BOO) varied between studies from 19% to 59.3%, with a median of 27.8%. The most pronounced change after surgery was the resolution of BOO in 88% to 93.8% (median of 92%) of affected patients. Results: Rates of de novo impaired bladder compliance (IBC) varied from 3.2% to 41.3% (median of 13.3%), whereas the resolution of IBC was reported with rates ranging from 0% to 47% (median of 4.8%). Conclusions: BOO, DO, and DU are frequently diagnosed in men scheduled for RP. BOO is improved after RP in most patients; however, there is still a substantial rate of patients with de novo DU as well as DO which may impair functional outcomes and quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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De Novo Detrusor Underactivity and Other Urodynamic Findings after Radical Prostatectomy: A Systematic Review

et al. 2022

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“…Giannantoni et al 12 found bladder compliance and contractility to be worse at 8 months following RP, but both improved at 36 months. MCC also appears to be impaired within the first 3 months following RP, 10,22,24 but studies have shown that this can recover at 6–12 months post‐RP 11,18,20,23,29 . This suggests that the effect of RP on bladder compliance, contractility, and capacity may be reversible, although further studies are required to validate this finding.…”

Section: Discussionmentioning

confidence: 99%

“…MCC also appears to be impaired within the first 3 months following RP, 10,22,24 but studies have shown that this can recover at 6-12 months post-RP. 11,18,20,23,29 This suggests that the effect of RP on bladder compliance, contractility, and capacity may be reversible, although further studies are required to validate this finding. The authors hypothesize the likely mechanism behind de novo impaired bladder compliance, contractility, and capacity to be similar to that proposed for de novo DO.…”

Section: Maximum Cystometric Capacity (Mcc)mentioning

confidence: 93%

Impact of radical prostatectomy on bladder function as demonstrated on urodynamics study—A systematic review

Yao

Hoe

Crump

et al. 2021

Neurourology and Urodynamics

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Aims: This study aims to describe the effects of radical prostatectomy (RP) on bladder function by performing a systematic review of urodynamics study findings before and after RP. Methods: This systematic review was conducted in accordance with the PRISMA guideline and registered on PROSPERO (CRD42020206844). A systematic search was conducted using PubMed, Cochrane, and Embase. Studies were included if they involved men who underwent RP and had urodynamics study performed preoperatively, postoperatively, or both. Studies that included only subgroups of patients based on symptoms were excluded. Three hundred and four articles were screened, with 20 articles included. A qualitative analysis was performed. Results: The rate of baseline bladder outlet obstruction (BOO) pre-RP was 19%-67%. All six studies with comparative data pre-and postoperatively demonstrated a decrease in the rate of patients with equivocal or clear obstruction. The baseline rates of detrusor overactivity (DO) varied widely from 11% to 61.2%. Six of eight studies with 6 months or more follow-up showed an improvement in the rates of DO ranging from 3.0% to 12.5%. The rate of de novo DO ranged from 0% to 54.5%. Four studies reported an increased rate of impaired bladder contractility and two of three studies showed a worsening rate of impaired bladder compliance following RP. This review is limited by the absence of level I/II studies. Conclusions: Urodynamics study shows that BOO is improved following RP in most patients. RP resolves DO in some patients and cause de novo DO in others. The net effect is a reduced overall rate of DO in most studies. Bladder compliance and contractility may be impaired after RP.

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Functional urology – Journey without ending for a better quality of life

Chuang

2017

Urological Science

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Urodynamic changes in patients with prostate cancer undergoing robotic-assisted radical prostatectomy: A comparison with laparoscopic radical prostatectomy

Cited by 5 publications

References 23 publications

De Novo Detrusor Underactivity and Other Urodynamic Findings after Radical Prostatectomy: A Systematic Review

De Novo Detrusor Underactivity and Other Urodynamic Findings after Radical Prostatectomy: A Systematic Review

Impact of radical prostatectomy on bladder function as demonstrated on urodynamics study—A systematic review

Functional urology – Journey without ending for a better quality of life

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