TY - JOUR
T1 - Early and late urinary continence outcomes after unilateral and bilateral nerve-sparing robot-assisted radical prostatectomy
T2 - A retrospective multicentre cohort study in Japan (the MSUG94 group)
AU - Sakaguchi, Kazushige
AU - Ebara, Shin
AU - Tatenuma, Tomoyuki
AU - Sasaki, Takeshi
AU - Ikehata, Yoshinori
AU - Nakayama, Akinori
AU - Kawase, Makoto
AU - Toide, Masahiro
AU - Yoneda, Tatsuaki
AU - Teishima, Jun
AU - Makiyama, Kazuhide
AU - Inoue, Takahiro
AU - Kitamura, Hiroshi
AU - Saito, Kazutaka
AU - Koie, Takuya
AU - Koga, Fumitaka
AU - Urakami, Shinji
N1 - Publisher Copyright:
© 2023 John Wiley & Sons Ltd.
PY - 2024/2
Y1 - 2024/2
N2 - Background: The impact of unilateral and bilateral nerve-sparing robot-assisted laparoscopic radical prostatectomy (NS-RARP) procedures on continence and the time to continence recovery have not been established. Material and Methods: We retrospectively reviewed a total of 2801 patients who underwent RARP in 9 institutions. Procedures were classified as NS or non-NS; NS procedures were further classified as unilateral or bilateral. The recovery of continence was analysed using propensity score matching method. Results: The pad-free rates at 12 months after surgery were higher in the NS group (95% confidence interval of odds ratio, 1.06–1.51). Pad-free rates at all time points within 12 months of surgery did not significantly differ between the unilateral and bilateral NS groups. Conclusions: NS-RARP resulted in better urinary continence outcomes than non-NS-RARP in the first 12 months after surgery. Urinary recovery rates did not significantly differ between unilateral and bilateral NS-RARP.
AB - Background: The impact of unilateral and bilateral nerve-sparing robot-assisted laparoscopic radical prostatectomy (NS-RARP) procedures on continence and the time to continence recovery have not been established. Material and Methods: We retrospectively reviewed a total of 2801 patients who underwent RARP in 9 institutions. Procedures were classified as NS or non-NS; NS procedures were further classified as unilateral or bilateral. The recovery of continence was analysed using propensity score matching method. Results: The pad-free rates at 12 months after surgery were higher in the NS group (95% confidence interval of odds ratio, 1.06–1.51). Pad-free rates at all time points within 12 months of surgery did not significantly differ between the unilateral and bilateral NS groups. Conclusions: NS-RARP resulted in better urinary continence outcomes than non-NS-RARP in the first 12 months after surgery. Urinary recovery rates did not significantly differ between unilateral and bilateral NS-RARP.
KW - nerve-sparing prostatectomy
KW - propensity score analysis
KW - urinary continence after prostatectomy
UR - http://www.scopus.com/inward/record.url?scp=85177213199&partnerID=8YFLogxK
U2 - 10.1002/rcs.2593
DO - 10.1002/rcs.2593
M3 - 学術論文
C2 - 37984071
AN - SCOPUS:85177213199
SN - 1478-5951
VL - 20
JO - International Journal of Medical Robotics and Computer Assisted Surgery
JF - International Journal of Medical Robotics and Computer Assisted Surgery
IS - 1
M1 - e2593
ER -